OKCIC Fall '22 Afternoon Circuit Training Application
Sign in to Google to save your progress. Learn more
Email *
OKCIC Spring '22 Afternoon Circuit Training
When: Mondays, October 3 - December 2, 2022

               4:00 PM - 4:45 PM

Where: 5208 W. Reno Ave - Wellness Center
               Oklahoma City, OK 73127



About: Circuit Training is for current OKCIC patients ages 12+
•  Only 6 spots available per age group/time block
• CURRENT WELLNESS CHECK AND NUTRITION REFERRAL REQUIRED
• Masks are required at the Oklahoma City Indian Clinic!

Chart Number *
Last Name *
First Name
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address *
City *
State *
Zip Code *
Cell Phone *
Tribal Affiliation *
May we text your cell phone?
Clear selection
Would you like to receive program notification(s) via email? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oklahoma City Indian Clinic. Report Abuse