Change of Meeting Form - District 19 Area 11

Single Choice*

 This is a new meeting that needs to be added to the schedule

 This is a change that needs to be made to an existing meeting listed in the schedule

If you are reporting a change that needs to be made to an existing meeting, please explain any and all updates here. If the meeting is no longer active and needs to be removed from the schedule, please indicate that here.

Name of Meeting*

Start Time*

End Time*

Meeting access type*

In person

Online

Hybrid

City/Town (regardless of meeting access type, all meetings must have an affiliated town)*

Location Name (i.e. First Congregational Church)*

Street Address*

Postal Zip Code*

Online meeting ID and password (if applicable)

Additional meeting type details (i.e. open/closed, big book/step meeting, women’s/men’s, young people, etc.)

Is this meeting wheelchair accessible?

Yes

No

Uncertain

Name of Submitter/Contact**

Contact Email*

Phone Number (optional)

Additional Information