| Enter
group information here. |
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Please fill out
as much information as possible -Thank You
The fields in red are required.
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*
Change Type:
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New Group
Group Update/Correction
Group Closed
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Group Name: |
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Area: |
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Day: |
Sun
Mon
Tues
Wed
Thurs
Fri
Sat |
| * Start Time: |
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Location:
(Name of Bldg, Room, etc.) |
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Address:
(Number and Street) |
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City, State, Zip: |
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Meeting Format & Comments |
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Week Open:
(3rd week open, etc)
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Meeting Length
(1 1/2 hours, etc.
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Codes: |
W - Wheelchair accessible with restroom
facilities
I - Sign language interpreter at this meeting
H - Sign language only
S
- Spanish spoken at this meeting |
| *
Message
Area |
Please
confirm the change you are reporting in this box:
Examples: New group, Meeting time change, etc.
This field is required. |
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For meeting
updates, describe in words what you are changing, such as
"Meeting format has changed", "Start time has
changed", etc.
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| CONTACT
INFORMATION |
| *
Name: |
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Address: |
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E-mail: |
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Phone: |
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