P.O.W.E.R. Registration Form (In-Person Session)
Orientation: January 10, 2022 (Information collected here will be used to crate the attendance roster)
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Email *
STOP! Before you go any further.... download and READ the P.O.W.E.R. Contract of Accountability before continuing. http://tammyt.com/POWER/documents/contract.pdf *
P.O.W.E.R. Sponsors must have successfully completed a P.O.W.E.R. session previously with no relapse between then and now. All others are P.O.W.E.R. sponsees. Will you be attending P.O.W.E.R. as a: *
First Name *
Last Name *
Street Address (So we can mail documents as needed) *
City *
State *
Zip Code *
Re-enter Email *
Phone Number *
Do you have a P.O.W.E.R. Sponsor? *
Enter your P.O.W.E.R. Sponsor's Name if you know it
Please let us know which 12-Step program you are working the steps for (AA, MA, NA, GA, OA, Al-Anon, etc.)
A copy of your responses will be emailed to the address you provided.
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