Spring Basketball After-School
Sign in to Google to save your progress. Learn more
Email *
OKCIC Spring Basketball
When: Tuesday, March 5 - April 9 , 2024  

               4:30 p.m. - 5:30 p.m.


Where:  Santa Fe Family Life Center A Sports & Fitness Complex
              6300 N Santa Fe Ave.
              Oklahoma City, OK 73118



About: After-School Basketball is for current OKCIC patients ages 10 – 17.
Only 15 spots available!
• CURRENT WELLNESS CHECK AND NUTRITION REFERRAL REQUIRED
• APPLICATION DUE BY February 27, 2024
Chart Number *
Last Name *
First Name
Date of Birth *
MM
/
DD
/
YYYY
Gender *
School District *
Grade *
Address *
City *
State *
Zip Code *
Tribal Affiliation *
T-shirt Size *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oklahoma City Indian Clinic. Report Abuse