Al-Anon 2025 Convention Registration Form

Pay Online for Registration 2025 NC/Bermuda Al-Anon/Alateen Convention March 14-16, 2025

Village Inn—Clemmons, NC Hotel reservations can be made at the group rate. Breakfast is included with hotel room booking!
Sign up to help at the Registration desk

THE DANCE: the coolest outfit you did or didn’t wear to the coolest dance you did or didn’t attend. Ballet? Prom? Plain old-school dance? Kitchen dance? Rain dance? One outfit will win a set of speaker tapes. We officially have a live band to play!
To pay by check please use the downloadable forms:

Al-Anon & AA PDF Registration Form

Alateen Registration Form & Medical/Travel Authorization Form

AMIAS Registration Form
Full Name*

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Name on Badge
Program - you may check more than one.*

Al-AnonAAAMIAS
E-mail*
Service Opportunities I am interested in

RegistrationRaffleHospitalityAnything

My Products

Registration Fee ($30 plus $2 paypal fee) $32.00

Early bird pricing ends March 7. After that date price will be $42.

Donation$1.00

Dollars

Enter coupon

Total $0.00

Pay Online for Registration 2025 NC/Bermuda Al-Anon/Alateen Convention March 14-16, 2025