Group Services - Virginia Alcoholics Anonymous

Please use the forms located below to register a new group or to change group information. If you need a downloadable version, please click the button below

Group Information Change Form

Group Service #

Type of Change

Location/Name/Info Change

GSR/AGSR/Group Contact Change

Group Type (Correctional, Regular, Virtual, etc.)

Delegate Area #

District(Required)

Choose one.

Date

Number of members

Old Information

Old Group Name

Old Group Location (name of building)

Old Meeting Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Old Meeting Day

Old Meeting Time

Old Group Type

Old Meeting URL

Old G.S.R. Information

Old G.S.R. Name

First Last

Old G.S.R. Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Old G.S.R.Email

Old G.S.R. Phone

Old Alt GSR Information

Old Alt G.S.R. Name

First Last

Old Alt G.S.R. Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Old Alt G.S.R. Email

Old Alt G.S.R. Phone

New Information

New Group Name

New Group Location (building name)

New Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

New Meeting Day

New Time

New Group Type

New Meeting URL

New G.S.R. Name

First Last

New G.S.R. Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

New G.S.R. Email

New G.S.R. Phone

New Alt G.S.R. Information

New Alt G.S.R. Name

First Last

New Alt G.S.R. Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

New Alt G.S.R. Email

New Alt G.S.R. Phone

Is this meeting already listed on the meeting guide website/app?

Yes

Any additional notes

CAPTCHA

This field is for validation purposes and should be left unchanged.

New Group Form

Group Information Change Form