Group Change Form – District 3 South Florida Conference

“Our membership ought to include all who suffer from alcoholism. Hence we may refuse none who wish to recover. Nor ought A.A. membership ever depend upon money or conformity. Any two or three alcoholics gathered together for sobriety may call themselves an A.A. group, provided that, as a group they have no other affiliation.” – Tradition Three (the long form) A.A.’s Traditions suggest that a group not be named after a facility or member (living or deceased), and that the name of a group not imply affiliation with any sect, religion, organization or institution. “Each Alcoholics Anonymous group ought to be a spiritual entity having but one primary purpose – that of carrying its message to the alcoholic who still suffers.” – Tradition Five (the long form) “Unless there is appropriate conformity to A.A.’s Twelve Traditions, the group… can deteriorate and die.” – Twelve Steps and Twelve Traditions, page 174.

Group Name *

Group Start Date *

Group Number

Group Format *

Number of Group Members *

Language Spoken *

Meeting Days *

Meeting Time *

Location *

City *

Zip *

GSR's Name *

GSR Email *

GSR's Phone Number *

GSR's Address *

Alt. GSR Name

Alt. GSR's Email

Alt. GSR's Phone

Alt. GSR's Address

Do You Want To Receive The District 3 Agenda & Minutes? *

Do You Want To Receive The Area 15 Agenda & Minutes? *