New Meeting Registration and Update Form

Select Type of Meeting
Phone MeetingFace-to-Face MeetingVideo Meeting

Select New or Existing Meeting
New MeetingUpdating existing meeting

Meeting Information

Group Name

Start Date

How often does the group meet? (e.g. Monthly, Weekly, etc.)

Day of the week group meets: SaturdaySundayMondayTuesdayWednesdayThursdayFriday

Time meeting begins

Time meeting ends

Call-in information

Is this a dashboard monitored meeting?
YesNo

Is this a video conference meeting?
YesNo

Does this video meeting offer an audio only call-in option?
YesNo

Call-in number


Code

Meeting Location

Name of the location

Street address

City, State, Zip Code

Country

Province

Group Contact Information

Group email

Name of group contact person (not necessarily the GSR)

Phone number of group contact (cell/landline/text)

Email of group contact

Details about the meeting

Does the meeting use conference approved UA Steps, UA Traditions, UA 12 Concepts of World Service, UA Symptoms and Tools?
YesNo

Does this meeting use conference approved literature: About UA pamphlet, Alcoholics Anonymous Big Book, AA 12 Steps and 12 Traditions (AA 12x12)?
YesNo

Description of the meeting and/or instruction to find location or room: