Group Form Please enable JavaScript in your browser to complete this form.Group Name *Is this a New or Existing Group? *-- Select One --New GroupExisting GroupDay(s) *SundayMondayTuesdayWednesdayThursdayFridaySaturdayTime *-- Select One --12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM12:00 AMMeeting Type - Please select all that apply. *Online MeetingOpenClosedDiscussionWomenMenLGBTQSpeakerBig Book12 Step & 12 TraditionLiteratureWheelchair AccessibleConcurrent with Al-AnonConcurrent with AlateenSmoking AllowedSpanishName of Meeting Location *Meeting Location Address *Meeting Location City *Meeting Location State *-- Select One --NYPAMeeting Location Zip Code *Meeting Start Date *Additional Meeting Notes - If this is an online meeting, please include the Zoom ID, Password (if applicable), dial-in info, etc. *Contact 1 Name *Contact 1 Address *Contact 1 Phone Number *Contact 1 Email *Contact 2 Name *Contact 2 Address *Contact 2 Phone Number *Contact 2 Email *NameSubmit