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Application for the Junior Smiles Club Join and receive a gift! Name: Birthday: / / Age: Name of sibling seeing Dr. HuerterThe Junior Smile Club is dedicated to our future patients ages 3 and up that

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What is form junior smile club?

Form junior smile club is a membership form for children to join a club focused on promoting dental health and providing educational resources.

Who is required to file form junior smile club?

Children who wish to join the junior smile club are required to fill out and submit the form.

How to fill out form junior smile club?

Children can fill out the form by providing their personal information, dental history, and signing the consent form.

What is the purpose of form junior smile club?

The purpose of form junior smile club is to enroll children in a club that promotes dental health and educates them on proper oral hygiene.

What information must be reported on form junior smile club?

The form may require personal information such as name, age, contact details, dental insurance information, and consent for club activities.

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