Alateen Group Change Form for Area 86, Ontario South

Alateen Group Change Form

Submitting this form will automatically forward it to your Area Alateen Process Person. You will receive a confirmation email for your own records at the email address provided at the bottom of this form.
1. Group Record
WSO ID Number*
District Number*
Area Name (Abbreviation)
2. Status
Status*

ChangeInactive
3. Changes
Check all that apply and (only) enter details in these sections:*

Group NameMeeting PlaceMeeting DayMeeting TimeCurrent Mailing Address (CMA)SponsorContact
4. Details
Group
Group name
Member Count
Age Range
Mailing Language
Spoken Language
Accessibility

Limited Access*Wheelchair AccessSign Language
*See in the 'Policy Digest' the section titled 'Alateen Meetings in Schools and Other Limited Access Facilities' of the 'Al-Anon/Alateen Service Manual (p24/27)' for information and/or definitions.

Meeting Days

Location
Meeting Place
Meeting Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location Instructions
(If relevant) e.g. Use back door, etc
Note: Only current Alateen members, prospective Alateen members, and the Area-certified AMIAS attend Alateen meetings)
Electronic Meeting Information
Credentials are managed bij AMIAS and/or AAPP and are never made public
Electronic Meeting Information

Not applicableEnter electronic meeting ID and password
Meeting ID
Meeting Password
5. Group AMIAS
Phone Contact for the Public. (if other than Sponsor). Contacts must be a current certified Al-Anon Members Involved in Alateen Service (AMIAS)
Name

First NameLast Name Initial
WSO ID
Phone
Group Sponsors must be currently certified through the Area process
Please list the primary group certified Alateen Sponsors.

Group Sponsors

6. Current Mailing Address

(All WSO mail for the group is sent to this address; it must be a current AMIAS).
Name

First NameLast Name
Street Address / PO Box

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Phone type

CellWorkHome
Phone number
Phone type

CellWorkHome
Email
example@example.com
Submitted by
Date

MonthDayYear
Date
Phone number
Email address
Notes and remarks
Should be Empty: