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DRA Group Meeting Registration Form

This Registration Form is for:

Any autonomous DRA Group that bases its meetings on the Preamble, Twelve Steps, and Twelve Traditions of Dual Recovery Anonymous. The meeting must be open to all DRA members in the community and be managed and chaired by DRA members.

Please remember to update your registration information yearly.

 GROUP NAMES:

DRA's 5th, 6th, and 10th Traditions and the hard won experience of older 12 Step organizations suggest that a DRA Group not be named after any person (living or deceased), nor should it imply affiliation or possible endorsement of any institution, organization, sect or religion.

Dual Recovery Anonymous is an autonomous organization with its own World Services, published literature, copyrights, trademarks, infrastructure, and Fellowship.

This form is strictly for meetings of the Dual Recovery Anonymous Fellowship.  We do not list Double Trouble in Recovery, Dual Diagnosis Anonymous, or meetings of any other organization. Due to our Tradition of non-affiliation and to help limit confusion in the public at large, DRA Groups do not incorporate the words "Double Trouble" or "Dual Diagnosis" in the group's name.
 

 

DRA Groups and DRA World Services are self-supporting. 
In order to continue to carry the message throughout the world, 
DRA Groups send about one quarter of the Group's donations to
DRA World Services, PO Box 8708, Prairie Village KS, 66208. 

Required Fields in BOLD

Contact Person:
Include First Name & Initial in
Public Listing as Contact Person ?
 Yes   No

We must have a Valid Email Address. We need it to confirm that this is a valid registration. If you do not want it made public make sure to check the 'No' button directly below your email address.
E-Mail Address:

Include E-Mail Address as Contact
Info, in the Public Listing?:

 Yes  No        Note About Privacy
Group Service Numbers will be supplied by DRA World Services. In the future they will help insure that your Group's meeting information is supplied to us only by your approved service workers.   For 12 Step, 12 Tradition DRA meetings ONLY.    More Info

Group Service #:

Name of Meeting:

For our records, we would like to know how old your Group or DRA meeting is. If you don't know, please answer with a question mark. When you do find out please let the Webmaster or World Service Central Office know. Thank you.

Month and Year meeting first organized:

Number of Members:
Approximate OK

New meeting means when your meeting was first registered with DRA World Services.
Is this a New meeting or Update information?
NEW      UPDATE
Is This Meeting:
Open   Closed     Open = anyone may attend, Closed = DRA Members from anywhere may attend. See Sidebar to Left
Meeting Day(s): 
Time Meeting Starts:
     AM     PM
Time Meeting Ends:
     AM     PM

Comments regarding schedule

Does your Group meet at odd hours
or various days and times. Please
detail that info here if needed.
Meeting Address:
City/Town:
State/Province:
   Zip:

Country:
Phone #1:

Please include area code
Phone #2:
Smoking allowed during meeting?
Non-Smoking Meeting
Non-Smoking with Smoke Break
Smoking Allowed During Meeting
  Wheelchair Accessible?
Yes   No  See Comments Box 

Is Coffee Available?

Yes   No  See Comments Box 

Format of Meeting:

 Topic or Open Discussion
Step, Traditions, and/or Book Study
Speakers
See Comments Box for Further Explanation

Comments:
Any additional information,
 Special directions, Landmarks,
Bus route numbers, etc.

Where is this meeting held?

Who can attend?
 For Example:  
DRA Members from the Community
Family & Friends
Inpatients & Clients
Any interested person

Comments:
Any additional information
 that describes your meeting
or the nature of your Group.
Is this meeting guided by the Principles of DRA's Steps and Traditions?  Yes  No

The following information (mailing address) is not posted publicly.

Group Mailing Address:

Must be specified here to so the World
Service Office can contact the Group
by mail. If it's the same as meeting
 location you can just type in "same"


This may take several moments.

Very soon, you will receive an Email receipt that includes the information you provided.

CLOSED OR OPEN MEETINGS:

OPEN: An open meeting is held for DRA members, and individuals who are concerned about their personal recovery. In addition, it is also open for non DRA members to attend. For example, an open meeting may be attended by a family member or friend of someone in DRA. An open meeting might also be attended by someone who is looking for help for a loved one or friend who is affected by a dual disorder. An open meeting also provides a good opportunity for the fellowship to carry the message to others who may not have another means of learning about DRA. In no way does this open a meeting up to other than DRA’s Primary Purpose or remove it from the guidance of DRA’s Preamble, Steps, and Traditions. The primary purpose of DRA is to help one another achieve dual recovery, to prevent relapse, and to carry the message of recovery to others who experience dual disorders.
 
CLOSED: A closed meeting is held for DRA members and individuals who are concerned about their own personal recovery. There may be members who only feel comfortable talking about their dual recovery in a group setting that is attended  by other DRA members. There may also be individuals who are concerned about their confidentiality. Those individuals want their dual recovery and participation to remain a private matter. Anonymity is the right of every DRA member and must be respected at all times. Being a CLOSED DRA Meeting does NOT mean “for patients and clients only”. If an activity is for patients and clients only, it cannot be registered or advertised as a DRA Meeting. All DRA 12-Step Meetings, whether declared OPEN or CLOSED, are always open to members of DRA from the community and the Fellowship at large.
 
 
 
 
Or you can print the Meeting Registration Form (Click Here) and send it by regular mail.
Adobe Acrobat Reader Required.

To report problems with this form or to contact the webmaster directly with your meeting information contact: 
You are always welcome to update your existing meeting information without filling out the entire form by sending us a plain e-mail. Just make sure to be specific enough so we know for certain which group you are talking about and exactly what information has changed if any.

Privacy: E-mail addresses are listed on the meeting list by use of  internal scripts and are generated on the fly to protect them from commercial misuse and harvesting by bulk e-mailers. Names are used in the form of, first with last initial, even when the whole name is submitted on the form. Group mailing addresses are not made public and addresses are never sold, traded, or given to anyone. They are for World Services Office use only.

INSTITUTIONAL & SERVICE PROVIDER USE OF DRA:

An institution or Service Provider may decide to have members of their staff conduct dual recovery support sessions. The staff may use the DRA Meeting Format and facilitate discussions about the Steps. Those particular activities would be referred to as "DRA Educational Sessions" or In-House Dual Recovery Support Sessions. Sessions of that nature are a part of the institution’s treatment program or services and are clearly not the same as DRA 12-Step Fellowship Meetings.

COOPERATION: Dual Recovery Anonymous strives to work with organizations such as mental health and substance abuse service providers in the spirit of cooperation, not affiliation or endorsement. DRA must always maintain its autonomy and independence from the professional community, advocacy organizations, and the various service providers that are designed to meet the needs of individuals with co-occurring disorders. There must always be a clear boundary separating the work of DRA from the work of chemical dependency and mental health professionals.

Institutions & Service Providers should be cautioned that the DRA name, logos, crest, and documents, are the copyrighted, and/or trademarked property of Dual Recovery Anonymous World Services Inc.  They may NOT be used in any way that may suggest an endorsement by or affiliation with Dual Recovery Anonymous. DRA copyrighted materials and/or trademarked names, phrases, and logos may not be used in conjunction with any outside enterprise, commercial organization, or affiliated in any way with non-DRA use.

GROUP SERVICE NUMBERS:

DRA Group Service Numbers are a new concept that DRA World Services is phasing in beginning in the Spring of 2003. These numbers will help protect the integrity of our meeting list information in several ways. When your Group's meeting is registered for the first time, we will supply you with a Group Service Number. From then on, when you need to update or modify your meeting(s) information, you will enter your Group's Service Number. Since this number is not widely known or made public, the chances of abuse of our online meeting registration system is greatly minimized. As our Fellowship continues to grow, your Group Service Number will help insure that our staff knows exactly what Groups or meetings we are dealing with as this number will be totally unique for each DRA Group or meeting set. This number will also be useful for Group Representative's and giving each DRA Group a voice in matters affecting the DRA Fellowship.

Note: Some DRA Groups hold several meetings per week. If the same Group Conscience is applied to all its meetings, then only one Group Service Number is needed. If you wish to set up separate numbers for each of your Group's DRA meetings, for instance when they all have different sets of service workers and act as an autonomous Group though they use the same name, please let us know in the comments section of the form.


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