GSR Report Form

Your Name (required)

Your Email (required)

Month (required)
—Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Year (required)

Group Name (required)

GSR Name (required)

GSR Phone (required)

Alternate GSR Name

Alternate GSR Phone

7th Tradition Contribution

Meeting Day(s):

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Meeting Time(s):

Home Group Members:

Meeting Attendance:

If you are a new or existing GSR that wishes to receive minutes via email or mail, please fill out an Address Update Form.

Did you submit an Address Update Form?
YesNo

List below anything you wish to report to the Area (elections and other group conscience decisions, activities, format
and location changes, difficulties, etc.). Since this section will be typed as-is, please write legibly, double-check, and do not include personal contact infomation.

Enter the characters you see here in the field below (just making sure you're human)