OKCIC Fall '22 Zumba Application
Sign in to Google to save your progress. Learn more
Email *
OKCIC Fall '22 Zumba
When: Mondays & Wednesdays, October 3 - December 2, 2022

               5:30 p.m. - 6:00 p.m.


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


About: Zumba is for current OKCIC patients ages 12+
•  Only 6 spots available per age group/time block.
• CURRENT WELLNESS CHECK AND NUTRITION REFERRAL REQUIRED

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