12 Step Form

Are you completing this form for an

[radio Ind-Gp use_label_element default:1 \"Individual\" \"Group\"]

Home Group[text Home-Group placeholder \"Your Homegroup\"]

Your Name*[text* your-name placeholder \"John Doe\"]

Enter your full name

Your Email*[email* your-email placeholder \"your@email.com\"]

Enter a valid email

Phone*[tel* phone placeholder \"513-123-4567\"]

Sobriety Date*

1 year soberity is required

Men: Areas You or Group Will Cover by Zip Code, Part of Town, City, etc. Only groups may choose miltiable genders.[textarea men x2 placeholder \"45238, Price Hill, Cloverdale, 45205\"]

Women: Areas You or Group Will Cover by Zip Code, Part of Town, City, etc. Only groups may choose miltiable genders.[textarea women x2 placeholder \"Greenhills, 45240, 45231, Glendale, Springdale\"]

Notes

Alcathon

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ContactForm

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Event Submission Form

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Feedback Form

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FeedbackForm

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Footsteps Contact Form

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Group Information Form

Group Name*

Any Notes

Name*

Position*[select* position \"IGR\" \"Alt IGR\"]

Sobriety Date*

Phone*

Email*

Address

City

ST[select contact-state \"OH\" \"KY\" \"IN\"]

Zip Code

Which committee(s) are you most interested in?

[checkbox committee-interest use_label_element \"12 Step\" \"Accessibilities\" \"Archivist\" \"Footsteps\" \"Grapevine\" \"Membership\" \"Nominating\" \"PI/CPC Public Information / Cooperation with the Professional Community\" \"TLC Treatment Literature Correctional /Bridge the Gap\" \"Special Events\" \"Event Traditions Workshop\" \"Event Spring Fling\" \"Event Gratitude Breakfast\" \"Event Thanksgiving Banquet \" \"Event Alcathon\"]

Group Information Form

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Intergroup New/Change Group Form

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IntergroupMeeting

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Meeting Info Form

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Night Owl

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Night Own Form

Name*

Sobriety Date *

1 year sobriety is required

Emal*

Phone*

Address

City

ST[select your-state \\\"OH\\\" \\\"KY\\\" \\\"IN\\\"]

Zip Code

Preferences*

Please check all you willing to do, the more you select the sooner you get started.
[checkbox* Shifts label_first \\\"Sun 9:00am-1:00pm\\\" \\\"Sun 1:00pm-5:00pm\\\" \\\"Sun 5:00pm-11:00pm\\\" \\\"Sun 11:00pm-9:00am\\\" \\\"Mon 5:00pm-11:00pm\\\" \\\"Mon 11:00pm-9:00am\\\" \\\"Tue 6:00pm-12:00mid\\\" \\\"Tue 12:00mid-10:00am\\\" \\\"Wed 5:00pm-11:00pm\\\" \\\"Wed 11:00pm-9:00am\\\" \\\"Thu 6:00pm-12:00mid\\\" \\\"Thu 12:00mid-10:00am\\\" \\\"Fri 5:00pm-11:00pm\\\" \\\"Fri 11:00pm-9:00am\\\" \\\"Sat 9:00am-1:00pm\\\" \\\"Sat 1:00pm-5:00pm\\\" \\\"Sat 5:00pm-11:00pm\\\" \\\"Sat 11:00pm-9:00am\\\"]

Number of Shifts per Month, and Any Special Notes

Nominating Form

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Treasurer Form

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Volunteer

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