JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
GCYPAA 2026 Pre-Registration Form
DATE:
May 29th-31st 2026
LOCATION:
Hilton Atlanta Northeast
5993 Peachtree Industrial Blvd, Peachtree Corners, GA 30092
Contact us at bufypaa@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Phone Number?
Your answer
Name?
*
Your answer
What city are you from?
Your answer
Sobriety Date?
MM
/
DD
/
YYYY
Willing to be of service?
*
Sure!
Sure! And I would love to donate a scholarship for someone - $10
No, thank you but I'd love to donate for someone - $25
No, Thank you! I'll just see you there.
Required
I understand payment is non-refundable
*
Yes!
Required
Refunds negatively impact host committees as they have to process additional fees along with the refund - Don't worry! If you do not attend the conference, your registration will turn into a donation and will be used as a scholarship.
Pre-Registration Options
*
Pre-Reg Fee - $25
Pre-Reg Fee + Get In The Car Shirt $35
Are you planning on using an alternate method of payment such as CashApp or Cash?
If so, feel free to use these options for now, as we add more later on!
*
Yes! Through Cashapp - $bufypaa
Yes! Through Zelle -
bufypaa@gmail.com
Yes! Through PayPal- @bufypaa
Yes! With Cash - Check in with Outreach Team - Must Be In Person!
No! I would like to receive a scholarship please!
Any special accommodations or comments?
Your answer
Donations Here! - $
Don't worry, you don't have to donate! This just allows you the option :)
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report