Eldorado Park Ext 9 Community Clinic and center

Meeting Change Request

Remove Meeting Request

Add New Meeting Request
Use this form to send your meeting information to our website administrator. Toggle the Change, New, or Remove buttons to generate a specific type of update request to suit your needs. Groups may register with this website by providing a phone number, email or mailing address for us to contact in the Additional Group Information section.

Signature Information must be filled in before a request can be submitted.
Change New Remove
Meeting Details

Meeting Name

Day

Start Time

End Time

Is Open or Closed Meeting?

Open

Closed

Types

12 Concepts

Basic Text

Beginner/Newcomer

Gay/Lesbian

IP Study

It Works Study

Just For Today Study

Literature Study

Speaker

Step

Topic

Tradition

Meeting Is For:

Women Only

Men Only

Anyone

Notes

Online Meeting Details

If this meeting has videoconference information, please enter the full valid URL here. Currently supported providers: Bluejeans, Dialpad, Discord, Free Conference, FreeConferenceCall, Google Meet, GoTo, Jitsi, Signal, Skype, Teams, Virtual Reality, WebEx, Zoho, Zoom. If other details are required, such as a password, they can be included in the Notes field above, but a ‘one tap’ experience is ideal. Passwords can be appended to phone numbers using this format +12125551212,,123456789#,,#,,444444#

Conference URL

Conference URL Notes

Conference Phone #

Conference Phone Notes

Location Details

Can I currently attend this meeting in person?

Yes

No

Error: In person meetings must have a specific address.

Warning: Online meetings with a specific address will appear that the location temporarily closed. Meetings that are Online only should use appoximate addresses.

Example:
Location: Online-Philadelphia
Address: Philadelphia, PA, USA

Location

Address

Region

Location Notes

Hide Show Additional Group Information

Group Name

Group Notes

Website

Website 2

Email

Phone

Mailing Address

Venmo

Square

PayPal

Contact Information

Contact 1 Name

Contact 1 Email

Contact 1 Phone

Contact 2 Name

Contact 2 Email

Contact 2 Phone

Contact 3 Name

Contact 3 Email

Contact 3 Phone

Meeting Details

Meeting Name

Day

Start Time

End Time

Is Open or Closed Meeting?

Open

Closed

Types

12 Concepts

Basic Text

Beginner/Newcomer

Gay/Lesbian

IP Study

It Works Study

Just For Today Study

Literature Study

Speaker

Step

Topic

Tradition

Meeting Is For:

Women Only

Men Only?

Anyone

Notes

Online Meeting Details

If this meeting has videoconference information, please enter the full valid URL here. Currently supported providers: Bluejeans, Dialpad, Discord, Free Conference, FreeConferenceCall, Google Meet, GoTo, Jitsi, Signal, Skype, Teams, Virtual Reality, WebEx, Zoho, Zoom. If other details are required, such as a password, they can be included in the Notes field above, but a ‘one tap’ experience is ideal. Passwords can be appended to phone numbers using this format <code>+12125551212,,123456789#,,#,,444444#</code>

Conference URL

Conference URL Notes

Conference Phone #

Conference Phone Notes

Location Details

Can I currently attend this meeting in person?

Yes

No

Error: In person meetings must have a specific address.

Warning: Online meetings with a specific address will appear that the location temporarily closed. Meetings that are Online only should use appoximate addresses.

Example:
Location: Online-Philadelphia
Address: Philadelphia, PA, USA

Location

Address

Region

Location Notes

Hide Show Additional Group Information

Group Name

Group Notes

Website

Website 2

Email

Phone

Mailing Address

Venmo

Square

PayPal

Contact Information

Contact 1 Name

Contact 1 Email

Contact 1 Phone

Contact 2 Name

Contact 2 Email

Contact 2 Phone

Contact 3 Name

Contact 3 Email

Contact 3 Phone
- Signature Information

Get Directions

Meeting Information

Meeting Change Request

Remove Meeting Request

Add New Meeting Request

Meeting Details

Online Meeting Details

Location Details

Hide Show Additional Group Information

Contact Information

Meeting Details

Online Meeting Details

Location Details

Hide Show Additional Group Information

Contact Information

Signature Information