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California South Al-Anon
Al-Anon, Alateen California

Al-Anon Registration/Group Records Change Form

If you are registering as a new Group Representative, you must register:

  • by the first Saturday of May in order to vote at the May Assembly.
  • by the first Saturday of November in order to vote at the November Assembly.

The Area Assemblies are held on the third Saturdays of May and November.

This is an on-line form to submit your group records changes or register a new meeting with SCWS and the World Service Office (WSO). Please do not send a copy to WSO. When you submit the information to SCWS, the SCWS Group Records Coordinator accesses the WSO database directly and makes all changes. There is no need to submit the same information twice.

You can print out a form and mail it in by clicking here if you would rather not submit the information on-line.

If you find this form a little confusing, please download and read "Instructions: How to fill out the Al-Anon Registration/Group Records Change Form" instructions.

Note: Please use one of the following formats when entering phone numbers: 123-456-7890 or (123) 456-7890.

Your email address should we have any questions (required):
 (1) Meeting Identification
  -  AREA # 04, CA(S)
 (2) Registration Status

If you have questions about filling out the form, please click the "Instructions" link above.

 (3) Changes to Currently Registered Meeting (Check all that apply)
 (4-8) Meeting Information
Group Name* 

*Group's name should reflect Al-Anon principles and be inviting to all.
Please note that group names not in compliance with Al-Anon policy will delay processing of the registration.
Contact your Area Group Records Coordinator or the WSO for further information.
Also see Al-Anon/Alateen Service Manual regarding considerations for naming new groups.

Meeting Place 
Street/PO Box 
City, Zip 
No. of Members 
 (9) Group Type and Special Focus (Check all that apply)

*Held in conjunction with a regular Al-Anon meeting, not considered an Al-Anon group.
**Attendance changes frequently; not considered an Al-Anon group.
Attendees are invited to go to regular Al-Anon meetings.
See Al-Anon/Alateen Service Manual for further explanation.

 (10) Special Needs & Group Features
Language Spoken 
Mailing Language 
Location Instructions 
 (11) Contacts (WSO refers newcomers and visitors to these members for information.)
First Name Only 
First Name Only 
 (12) Current Mailing Address (CMA)
Name (First and Last) 
Street/PO Box 
City, Zip 
 (13) Group Representative (GR) and Alternate Group Representative (AGR)
Name (First and Last) 
Street/PO Box 
City, Zip 
 (14) District Officers / Area World Service Committee (AWSC) Intergroup Liaisons / Convention Chairs
Name (First and Last) 
Street/PO Box 
City, Zip 
Intergroup or Convention 
 (15) Intergroup Rep/Information Service Rep and other Group Meeting Officers
Name (First and Last) 
Street/PO Box 
City, Zip 
 (16) Comments

The WSO will register any group designating itself as an Al-Anon Family Group with the understanding that it will abide by the Traditions and that the meeting will be open to any Al-Anon members. Al-Anon/Alateen Service Manual (P-24/27), “Digest of Al-Anon and Alateen Policies.”