SMART Recovery Meeting Registration Form
Please fill in the details for your meeting so we can list it on our website. Before filling in the form, please read our guidelines and code of conduct:

Guidelines: www.smartrecoveryaustralia.com.au/principles-and-guidelines-for-facilitators/

Code of conduct: www.smartrecoveryaustralia.com.au/code-of-conduct/

Before an organisation can commence running the SMART Recovery program, including starting a SMART Recovery meeting, they must purchase a subscription. Subscription fees only apply to organisations and not individuals voluntarily running meetings in the community.

https://smartrecoveryaustralia.com.au/licence-subscription/
Email *
Meeting address (to be displayed on website)
Primary Contact Name (to be displayed on website) *
Primary Contact Email (to be displayed on website) *
Primary Contact Phone number (to be displayed on website) *
Co-facilitator email address (if inapplicable, put N/A) *
Co-facilitator phone number (if inapplicable, put N/A)
If you run your SMART Recovery meeting through your employer, what is your manager's name? If inapplicable, put N/A. *
Do any of the facilitators or co-facilitators have any criminal convictions? *
Meeting start date
MM
/
DD
/
YYYY
Meeting time *
Time
:
Day of meeting
Clear selection
Who will be running the meeting?
Clear selection
Name of organisation running the meeting (if applicable)
Is one or more of the facilitators of this meeting someone who has lived experience of addiction? *
If you answered "yes" to the previous question, did this person gain control of their addictive behaviour through the SMART Recovery program? *
Postal address for meeting (if different from meeting address)
Primary contact phone number (if different from public number
Meeting email (if different from public listing)
Facilitator names (if different from public listing)
What type of meeting is this? *
Where and when did you complete SMART Recovery Facilitator Training? *
I certify that:
Any special instructions about locating or attending the meeting?
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