Complete the registration form below. Please confirm that your email address is correct. Upon completion of all information, click the Register button at the bottom of the page to send in your registration.  Please fill out a complete form for each person attending the Clinic, do not include husband and wife on the same form. Please select if you are completing the form for the Men's Clinic or the Women's clinic.  The First Timers Free Registration is for the Men's clinic only.

If completed correctly you will receive an email response to the email address listed on the registration. If paying in advance of arriving for the clinic, Please Print the email out and send in with your Clinic registration Fees to

37529 Indian Trail,  Honobia, OK 74549.

Please call the Clinic office Monday - Friday 10:00 AM - 4:00 PM with any questions concerning your registration. 580-244-3473

© 2019 by Kiamichi Mission web services



In The Kiamichi's - 1969 Men's Clinic
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