Skip to Main Content
Home
Government
Residents
Visitors
Business
How Do I...
Home
Forms
DEEP Registration
Leave This Blank:
Please fill out the following form to register for DEEP (Diabetes Empowerment Education Program) classes. We look forward to your attendance.
First Name
*
Last Name
*
Phone Number
*
Email Address
Street Address
*
City
*
State
*
Zip Code
*
Referred By
I am a...
*
Pre-Diabetic
Diabetic
I do not have diabetes.
Preferred Class Time
*
Morning
Evening
Preferred Language
*
English
Spanish
* indicates required fields.
Live Edit
Close
Mission Statement
Accessibility & Accommodations
DOWNTOWN DEVELOPMENT RESOURCES
Lake Wichita Revitalization Committee
Proposed Full Service Hotel and Conference Center
Water Meter Replacement
Code|RED Registration
PAY MY COURT FINE
PAY MY BILL
MEETINGS/AGENDAS/ MINUTES
CITY YouTube PAGE
CODE OF ORDINANCES
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow