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

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

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-- select a District --
Unlisted / Not Sure
Alexandria
--Del Ray — 1
--Mount Vernon — 11
--Old Town — 45
--West End — 46
Arlington — 2
Centreville — 42
Dulles — 4
Eastern Shore — 27
Fairfax — 5
Falls Church — 6
Fauquier — 35
Fredericksburg — 30
Hampton — 8
Historic Virginia — 38
Jefferson — 9
Loudoun — 10
Manassas — 33
Mountain View — 31
New River Valley — 13
Newport News — 12
Norfolk — 14
North Piedmont — 3
Northern Neck — 15
Ocean Front — 32
Piedmont — 39
Richmond
--City of Richmond — 18
--North East Richmond — 37
--North of the James — 43
--Richmond West — 44
--South of the James — 29
--Southside — 36
Roanoke Valley — 19
Shenandoah Valley — 22
Skyline — 40
South Central — 16
South Piedmont — 17
Southwest — 20
Springfield — 21
Vienna — 41
Virginia Beach — 23
Western Tidewater — 24
Winchester — 26
Woodbridge — 28

New Group Form

Group Information Change Form