Support Group Registration

If you would like to be listed in the directory but would not like to participate in the VSGN Program, use this form.

1About Your Support Group

2Leader Details

This information will be used to create your support group's public directory listing.

Do not enter private information on this page.

Support Group Name(Required)

Support Group Email(Required)

To be published on the website

Support Group Phone

To be published on the website

Is your support group new or already established?(Required)

New

Established

How long has your group been meeting?(Required)

How frequently does your group meet?(Required)

What is your meeting schedule?

For example: "Monthly on the 2nd Tuesday, 6 pm - 7 pm"

Where does your group meet? Be as complete as possible, but if you are not sure type "TBD."

Location Name(Required)

The name of the business or organization where your meetings are held.

Location Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Special Directions/Parking Info