NEW GROUP REGISTRATION FORM
If this group has been registered previously, please use the "Group Update Form"
Please note that fields with an asterisk * will require the appropriate information filled in! 
   
*Your Name:
*Your Email:
*Group Name:
Today's Date:
This Group was formed? (Month/Year)
This group holds how many meetings per week?
Area Name:
*Region Name:
   

Group Mailing Address
This is typically a mailing address of a stable group member who can forward any communication from NA World Services to the NA group. This may or may not be a current group trusted servant, and is not usually the group’s meeting location address.

 
   
*ASC or Group Contact:
  
 
*Address:
*City:
*State/Province
*Postal/Zip
*Country:
Phone:
Please send our group the NA Way Magazine in:
English French German Portuguese Spanish
 

  sent to my mailing address above
 

  via email to


Group's Meeting Information
Please indicate whether meeting is open or closed. Also check what day(s) the meetings are held.
Day of Week Sun Mon Tues Wed Thur Fri Sat  
Is Meeting Open or Closed?*
 Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Open

Closed

Meeting Time 
Language(s) 
Format 
WC Accessible 
 Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

  Room Name

*Open NA meetings welcome addicts and interested observers; Closed NA meetings welcome addicts only.


Meeting Location
 
 
*Place:
  
 
*Address:
*City:
Borough:
*State/Providence
*Zip/Postal
*Country:
   

If this meeting is held in a correctional or treatment facility, are there special criteria for entry?

Additional Information

If you have any questions or concerns that are not related to this group's registration, please contact info@na.org

Home