Group Records Change Form THIS FORM IS FOR USE BY DISTRICT REPRESENTATIVES ONLY. DR, please use this form to update ONLY ONE MEETING AT A TIME. If you need to update several meetings, use a separate form for each one. Your Name * Your Phone Number * Your Email * Group WSO I.D. Number * Group Name * Meeting Day and Time * City * District Number * Status * Change Inactive Change Group Name Change Mailing Language Change Meeting Location Information Change Meeting Location Information Change Meeting Location Information Change Meeting Location Information City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Change Temporary Electronic Meeting Information (request online meeting information be removed, add new online meeting, or change existing online meeting information. When adding or changing information, include the Zoom URL along with the Meeting ID, Password, and Online Meeting Contact Person. Hybrid meeting information can be included in this box.) Change Group Email Change Phone Contact for the Public (first name, phone number) Change Meeting Day Change Meeting Time Participants: This information is OPTIONAL. In keeping with Traditions 3 & 5, our groups welcome anyone affected by someone else's drinking. EVERY AL-ANON MEETING IS OPEN TO EVERY AL-ANON MEMBER. Select only one box. Parents of Alcoholics Adult Children Young Adults People of Color Women Men LGBTQIA+ Change Meeting Details (Check as many as applicable) Families, Friends, and Observers Welcome (Open Meeting) Families and Friends Only (Closed Meeting) Language SpokenLanguage Spoken Member CountMember Count Beginners-held in conjunction with a regular Al-Anon group meeting, not considered an Al-Anon group. Provide newcomers a simple introduction to Al-Anon. Introductory-Attendance changes frequently, not considered an Al-Anon group. Attendees are invited to go to regular Al-Anon meetings. Limited Access- Meeting access is limited due to facility's entry restrictions. These groups meet at sites such as military bases, institutions, industrial plants, or schools. Handicap Access Fragrance Free Child Care Smoking Permitted Sign Language Change Other Location Instructions (such as Entrance direction, meeting room number, Covid restrictions, etc.) Change Current Mailing Address (CMA) First Last Name, Address, City, Zip, email, phone number Change Group Representative Mailing Address. First Last Name, Address, City, Zip, email, phone number If you are human, leave this field blank. Submit Δ