HLR Registration

* Indicates required field

1. Name (Please DO NOT answer in all CAPS) *

First

Last

2. I would like to Register for: *

Wed April 29-July 8 5:30-6:45 pm PT which is 8:30-9:45 pm ET

2. State (please abbreviate) *

3. Phone Number (Use this format xxx-xxx-xxxx) *

4. Time Zone (select from this dropdown list) *

5. Email *

6. Country if Outside of the USA *

7. Your 12-Step Program (select from this dropdown list) *

8. Your Sponsor's First Name and Last Initial *

9. Your Sponsor's Email Address (your sponsor is not required to participate in any way. They will only be sent the Sponsor Packet) *

10. Our documents are for use ONLY with the HLR groups and are NOT for public use. Therefore, do not share our documents with anyone including your sponsor. *

I understand and will not share these documents

11. Comments or Questions *

Click the SUBMIT button below. You will receive a confirmation message.

If you DO NOT RECEIVE THE MESSAGE, then information is missing above.

SUBMIT