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2017 Give Kids a Smile Day Registration Form Please return by January 28, 2017, to GISD PCC.org or fax to 2155639442 CONTACT INFORMATION Dental Office Names: Contact Persons Name: Email: Address:

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01

Open the 2017 give kids a form.

02

Read the instructions carefully before filling out the form.

03

Provide the required personal information in the first section.

04

Enter the details of the kids for whom you are giving gifts in the following sections.

05

Specify the types of gifts you are giving and the amount or value of each gift.

06

If you are giving gifts to multiple kids, make sure to provide separate details for each one.

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Sign and date the form once you have finished filling it out.

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Submit the form according to the provided instructions.

Who needs 2017 give kids a?

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Parents or legal guardians who want to give gifts to their kids.

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Individuals or organizations who are organizing a gift-giving program for kids in need.

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Anyone who wants to spread holiday cheer and help make a child's Christmas special.

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What is give kids a smile?

Give Kids A Smile is a program that provides free dental services to children in need.

Who is required to file give kids a smile?

Dental professionals who are participating in the Give Kids A Smile program are required to file.

How to fill out give kids a smile?

To fill out Give Kids A Smile, dental professionals need to document the services provided to children in need.

What is the purpose of give kids a smile?

The purpose of Give Kids A Smile is to improve access to dental care for underserved children.

What information must be reported on give kids a smile?

Dental professionals must report the type of services provided, the number of children served, and any follow-up care recommendations.

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