Sunshine Club Meeting Request
We take meetings to AA members who are hospitalized or homebound due to illness or injury. Please fill out the following info for the member who wants a meeting, or your own info if you'll be coordinating the request on their behalf.
Sign in to Google to save your progress. Learn more
Who is the meeting for? *
County *
Location and address: *
How should we contact the member (or responsible person)? *
Home Group:
Preferred meeting day and time:
Women, Men, or Mixed? *
Number of visitors (desired/allowed):
Type of meeting preferred, if any (Big Book, Step Study, etc.):
Any pets? *
Any steps to climb? *
Is the requesting member hospitalized? *
If so, please ask about the visitor policy. We do not want to exceed their maximum number of allowed visitors.
Visiting hours:
If hospitalized, would they like a bedside meeting or is there a quiet space available?
Clear selection
Clear form
Never submit passwords through Google Forms.
This form was created inside of Intercounty Fellowship of Alcoholics Anonymous. Report Abuse