Pre-registrer for Divine Paradox.

Join us for HACYPAA XI, the Heartland Area Conference of Young People in Alcoholics Anonymous.

Complete the form to receive your registration code and private payment link. Your registration is confirmed once payment is verified.

Pre-registration cost: $25.00

Last name * First name * Email * Phone number * Sobriety date Location Home group

What fellowships are you a member of? Alcoholics Anonymous Al-Anon, Alateen, or AFG

Will you require any special accommodations? Mobility assistance ASL interpreter None

Dietary restrictions or other accommodation details

I am interested in service opportunities during the conference. * Yes, please contact me about volunteering. No, I will not be volunteering at this time.

Would you like to donate a scholarship? Yes No

Preferred payment method * Cash Cash App Venmo

H HACYPAA

Heartland Area Conference of Young People in Alcoholics Anonymous

Divine Paradox · Independence, Missouri

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