Please Complete and Submit the Form Below to Register a New Group Venue Online In Person Zoom ID * Zoom Password (recommendation is districtX where X is your district number) Does your group meet in a hospital, treatment center, jail or other institutional setting? * Yes No If yes, is it open to regular AA members as well as patients or residents of the facility? Yes No Group Name * Group Start Date * Number of Members * Group Meeting Location * Address * City/Town * Zip Code * Meeting Day(s) * Sunday Monday Tuesday Wednesday Thursday Friday Saturday check all that apply (Use Additional Comments box at the end for specifics for each day) Meeting Type * 11 - 11th Step Meditation 12x12 - 12 Steps & 12 Traditions ASL - American Sign Language AL-AN - Al-Anon same time & place ST - Step Meeting ABSI - As Bill Sees It BA - Babysitting Available B - Big Book H - Birthday BRK - Breakfast CAN - Candlelight CF- Child-Friendly C - Closed AL-AN - Concurrent with Al-Anon AL - Concurrent with Alateen XT - Cross Talk Permitted DR- Daily Reflections DB - Digital Basket D - Discussion DD - Dual Diagnosis FF - Fragrance Free G - Gay GR - Grapevine NDG - Indigenous L - Lesbian LIT - Literature LS - Living Sober LGBTQ - LGBTQ TC - Location Temporarily Closed MED - Meditation M - Men N - Native American BE - Newcomer NS - Non-Smoking ONL - Online O - Open OUT - Outdoor POC - People of Color P - Professionals A - Secular SEN - Seniors SM - Smoking Permitted SP - Speaker ST - Step Study TR - Tradition Study T - Transgender X - Wheelchair Access XB - Wheelchair-Accessible Bathroom W - Women Y - Young People check all that apply Start Time * 121234567891011 : 000510152025303540455055 AMPM End Time * 121234567891011 : 000510152025303540455055 AMPM Digital Contributions Venmo Square PayPal Digital Contributions Link (Venmo, Square, PayPal) Additional Comments Ex: For groups with multiple meetings use this section to give specifics of each meeting time and codes Primary Contact Full Name - First & Last Name * Your full name is required by GSO. Phone * Address * City/Town * State * Zip * Email * Is the Primary Contact Also the General Service Representative (GSR)? Yes No GSR Name Phone Address City/Town State Zip Email Alternate GSR Name Phone Address City/Town State Zip Email Eastern States Directory Ok to List in the Eastern States Directory for 12th Step Referral and/or requests for meeting information? * Yes No NOTE: If "Yes," the GSR's (or other contact) full name and telephone # will be included with the group's name and service number. Please type the characters displayed to prove you're human.
