group registration form

group meeting time and contact information


It is important that the Intergroup Office have an up-to-date registration from the groups because it is often necessary to contact someone regarding matters affecting your group. This information is kept confidential.

Your Name:       
E-mail Address :  
                 *this is just so we can contact you if we have any questions

Group Name:      
Place & Address: 
City:               Zip:  
Day of Meeting:     Time: 
Day or Time of business meeting: 
Type of Meeting: check all that apply
	Open         Men's only
	Closed       Women's only
	Childcare    Spanish
	Young People Gay & Lesbian
	Step Study   Handicapped accessible
	Smoking      non-Smoking   
Additional Comments:
Intergroup Representative (The group's vital link with your Intergroup)
	Name:    
	Phone:   
	Address: 
	City:    
	Zip:
General Service Representative (The group's vital link with AA as a whole)
	Name:    
	Phone:   
	Address: 
	City:    
	Zip:
Secretary or other permanent member
	Name:    
	Phone:   
	Address: 
	City:    
	Zip:

Thank You!