Al-Anon Area 57 (Virginia) Group Records Change Form
Your input will be saved and an email sent to the current Area Group Records Coordinator. All data changes will be recorded into both the Area and WSO's database.
Changes in meeting status, time and or place are shared with Area officers, appropriate District Representatives, Service Centers, and web coordinators. Personal information about persons representing groups is NOT shared, but used only to allow direct communication between groups and Area or WSO.
If you prefer to use paper and snail mail, download form from Area or WSO website and expect a slower response.
This form may also be used to register NEW groups!
Alateen group information needs to go to the Alateen coordinators.
FILL OUT ALL INFORMATION ASKED FOR, PLEASE!
You are welcome to enter "SAME" for data that remains the same, but please supply as much identifying information as possible.
THANKS!
GROUP RECORD CHANGE FORM, Virginia Area
Changes
Check all that apply.
Required
WSO Number
Leave blank if you are registering a new group.
Your answer
district number
Check with your District Representative to confirm this.
Your answer
Status
NEW refers exclusively to newly registering groups. Most entries are CHANGE.
GROUP/REGISTRATION OVERVIEW
New groups registering are encouraged to read the Service Manual P-24/27, page 77-78, before selecting a name. Please note that names not in compliance will delay processing of the registration.
Group Name
Your answer
Meeting Place
Your answer
Meeting Place Address
Your answer
Meeting Place City
Your answer
Meeting Place zip code
Your answer
Group Type
Per Al-Anon policy, all groups are assumed to be closed unless noted otherwise. See page 39 of Service Manual (P-24/27).
Required
Special Needs
Check all that apply
Language spoken at meeting.
Your answer
Number of members
Your answer
Special Meetings, please consult the Service Manual (P-24/27)and your DR before selecting one of these options. Most groups are neither of these special meeting types.
Per Service Manual (P-24/27) Beginners meetings: "Some regular Al-Anon groups offer beginner topics as a way to attract newer members to attend. These groups register as regular Al-Anon groups and have a GR. They may use "Beginner" as part of their name. Other groups may decide to hold beginners’ meetings to provide newcomers with a simple introduction to our program. These special beginner's meetings are served by the GR of a hosting AL-Anon Group." Introductory meetings: "can be held at institutions, such as hospitals, treatment centers, and shelters, or any other location where families and friends of alcoholics gather. Attendance changes frequently. Such a meeting is not considered an Al-Anon group and does not have its own Group Representative. Experienced Al-Anon members share the responsibilities for conducting introductory meetings and for inviting those in attendance to try a regular Al-Anon/Alateen meeting."
Any special instructions or notes regarding this group?
Your answer
Meeting day(s)
Use other option for groups that meet multiple days of the week.
Required
Meeting time
Please note AM or PM
Your answer
Group Representative
Group Representatives are voting members of the Area Assembly and attend Area and District level meetings. Mailings and electronic communication from WSO and Area will go to this address and email unless another CMA (current mailing adress) is noted below.
GR Name
First name then last name
Your answer
GR Street address / PO Box
Your answer
GR City
Your answer
GR State
Your answer
GR Zip code
Your answer
GR phone number
including area code. Please indicate whether it is a home (h), cell(c), or work(w) number using a letter in parenthesis as shown.
Your answer
GR email address
Confirmation will be sent to this address. Increasingly, both the Area and WSO are using electronic communication, so an accurate and current email address is very useful.
Your answer
Contacts
WSO refers newcomers with questions about your meeting to these members or may use these numbers to follow-up if someone goes to the meeting and finds nothing there. Two contacts are recommended.
First Name of 1st contact
Your answer
1st contact phone number
Include area code please.
Your answer
First Name of 2nd contact
Your answer
2nd contact phone number
Include area code please.
Your answer
Current Mailing Address. Enter SAME in CMA name if you want your Group Representative to receive Area and WSO mailings for the group.
All WSO and Area mailings will go to this address. Enter SAME in CMA name if you want your Group Representative to receive these mailings for the group.
CMA Name
First and last name please
Your answer
CMA Address
Your answer
CMA City
Your answer
CMA State
Your answer
CMA zip code
Your answer
CMA phone number
Please indicate whether it is a home (h), cell(c), or work(w) number using a letter in parenthesis as shown.
Your answer
CMA email
Confirmations will be sent to this address.
Your answer
Additional Group Officers
Please include name, address, phone number and email of any additional Group Officers. Neither WSO nor the Area requires this information.
Additional information
Your answer
Submitted by:
Please give your name, phone number and email address in order that a confirmation may be sent to you.
Name
Your answer
email address
Your answer
phone number
Your answer
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