Registration
You MUST complete your registration by clicking the PAY button, which will take you to our Square site to input your payment information.
*Alateens must complete and submit required documentation and forms in order to be admitted to the Convention. All Alateens must be accompanied by a parent, guardian, or AMIAS sponsor. These forms, as well as additional information regarding Alateen supervision, can be downloaded on the Alateen page.*
* Required
Email address
*
Your email
Full Name
*
Your answer
Name on Badge
*
Your answer
District #
Your answer
Phone #
*
Your answer
I am a member of:
*
Al-Anon
Alateen ($10.00)*
AA
Other
Required
Comment:
Your answer
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