Registrar - Group Registration/Update Form

Group Registration/Update Form

Information from this form is sent to the Area 79 Registrar and Website Chair for meeting guide updates
This is:*
Your Name*

First NameLast Initial
Your Email Address*
example@example.com
Effective Date*

MonthDayYear
District*
Group Name*
Group Service Number
Is the Meeting Online, In Person or Hybrid?

Online OnlyIn Person OnlyHybrid (Online and In Person)
Meeting Location*
(ie. St. Andrew's Chrurch, Quadra Village Community Centre, Paul's backyard))
Meeting ID (please specify if other than zoom)
Password
Link to 'Join Meeting'
Number of Members*
Street Address*
City/Town*
Province*
Postal Code*
Country*
Language
Meeting Type(s)*

Big Book MeetingClosed MeetingDiscussion MeetingHospital MeetingInstitution MeetingOpen MeetingStep MeetingTraditions MeetingWheelchair Accessible*Other

Meeting Day and Time

ADDITIONAL INFORMATION

Please make sure you include complete address and contact information for your GSR/Alternate GSR so tat they may receive relevant material.
Is it ok for us to list your group in the directory?

YesNo
Do you wish to receive materials from BC/Yukon Area 79 Service Committee via email?

YesNo
Should be Empty:

Group Registration/Update Form