Optometry Day at the Capitol Sign-Up
Please fill out the following information for our event on Thursday, February 11, 2027. Fields marked with an asterisk (*) are required.
What is your status?
*
Doctors
Resident Doctor
First Year
Second Year
Third Year
Fourth Year
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Number - We will not share this information with anyone outside of the OAOP and leadership. (Permission to send SMS messages; data rates may apply)
Please enter a valid phone number.
Format: (000) 000-0000.
Practice City or Oklahoma Hometown
Leave blank if you are not from Oklahoma.
Is this your first time at the Capitol
Yes
No
Are you willing to be a group lead with first time ODs and/or student doctors?
Yes
No
Would you like to reserve a boxed lunch at the OAOP office for after your Capitol visits?
Yes
No
Let us know if you have any food allergies.
Relationship with legislator (if applicable, please specify)
Submit
Should be Empty: