Subcommittee Information | Connecticut Region of Narcotics Anonymous

Committee Information

Service Body(Required)

Committee Name(Required)

Service Body Name (if Other)(Required)

Committee Name (if other)(Required)

Meeting Day(Required)

Recurrence(Required)

Custom Recurrence?(Required)

Start Time(Required)

Please enter Hours and Minutes. (ex: 07:00 pm)

End Time

Please enter Hours and Minutes. (ex: 07:00 pm)

Important Details

In-Person or Virtual?(Required)

In-Person

Virtual

Hybrid

Committee Meeting Address(Required)

Facility Name Street Address City State ZIP Code

Virtual Meeting Link(Required)

Virtual Meeting ID(Required)

Virtual Meeting Passcode

Please provide your information, not someone else’s, so we can contact the person filling out the form if there’s any questions.

Name(Required)

Phone(Required)

Email(Required)

This field is for validation purposes and should be left unchanged.