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:
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.
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)
Do any of the facilitators or co-facilitators have any criminal convictions?
Meeting start date
Day of meeting
Who will be running the meeting?
Employee within an organisation
Volunteer within an organisation
SMART Recovery peer
Peer employed or volunteering within an organisation (please specify)
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?
I answered "no"
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?
Open SMART Recovery meeting (anyone can attend)
Closed SMART Recovery meeting (please specify criteria for attendance)
Open Be SMART Family & Supporters Meeting (anyone can attend)
Closed Be SMART Family & Supporters Meeting (please specify criteria for attendance)
Where and when did you complete SMART Recovery Facilitator Training?
I certify that:
I have read and agree to the Principles and Guidelines for Facilitators
I have read and agree to the SMART Recovery Code of Conduct
Yes, inform me of occasional SMART Recovery updates via email, including quarterly newsletter
Any special instructions about locating or attending the meeting?
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This form was created inside of Smart Recovery.