2025 Holiday Share-A-Thon- Service Commitment Lottery Registration Form
Lottery: Saturday, December 13th @10 am on Zoom and in person at the Queens Intergroup office. 

You must pre-register using this form to receive the event information. Registration does NOT confirm that your group will get a slot at the Share-A-Thon -- this only confirms that you will participate in the lottery. 

Questions? Contact secretary@queensaa.org or events@queensaa.org Thank you for your service!
Sign in to Google to save your progress. Learn more
Email *
Group Name
Contact Name
Contact Phone
Contact Email
Would your group like to take a commitment at the LIVE Holiday Share-a-thon?
Clear selection
Would your group be willing to take an overnight time slot? (12 am - 6 am)
Clear selection
Planning to attend lottery over Zoom or in person at the Queens Intergroup office?
Clear selection
Notes/Comments/Questions
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of queensaa.org.

Does this form look suspicious? Report