JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
August 2024 Assembly Registration
Event Timing: August 10-11, 2024
Event Address: 9990 Airline Hwy, Baton Rouge, LA 70816
Registration Contact
registrar@aa-louisiana.org
Please complete to register for the August 2024 Area 27 Assembly in Baton Rouge
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your first name?
*
Your answer
What is your last name?
*
Your answer
Email
*
Your answer
How will you attend Assembly?
In Person
By Zoom
Clear selection
What day(s) do you plan to attend?
Saturday
Sunday
How should your name appear on your name tag?
Your answer
What is your home group's name?
*
Your answer
What District are you in?
Choose
Unknown\Not Listed
District 01
District 02
District 03
District 04
District 05
District 06
District 07
District 08
District 09
District 10
District 11
District 12
District 13E
District 14
District 14A
District 14B
District 15C
District 15D
District 16
District 17
District 18
District 19
District 20
District 21/23
District 22
District 24
District 25
What is your service position?
*
Area Officer
Area Committee Chair
GSR
Alt-GSR
DCM
Alt-DCM
Past Delegate
Guest/Visitor
What is your Mailing Street address?
Your answer
What is your Mailing Address City?
Your answer
What is You Mailing Zip Code?
Your answer
What is your phone number?
Your answer
Select desired items to verify and update.
I am a Position Holder. Verify my information against the GSO database and make needed changes.
Add my email address to the Area 27 email distribution list.
Enter any special needs below and the information will be forwarded to the Accessibility Committee.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Louisiana Area Assembly.
Report Abuse
Forms