Please enter a separate registration for each person. If you do not know or do not want to share your personal info, just enter n/a or unknown. When you have completed and are ready, you will pay for everyone and everything at the same time.
Name (First L)
Clean Date (MM/DD/YYYY)
NA Home Group
NA Area (West Central, United KC, Heartland, Northland, etc)
NA Region (Probably, Show Me Region)
Chairing Workshop (1 year cleantime required)
Speaking at Workshop (2 years cleantime required)
Funds donated will help pay for newcomer registrations (optional).
Register for Freedom to Change!