Thank you for your interest in the Healthy Smiles Event. Registration is closed at this time. We look forward to more events to come.
Child's name:
*
First Name
Last Name
Suffix
Child's age:
*
Child's school:
*
Please pre-register for one event date.
*
February 1st Registration Closed
Saturday, February 15th (9am - 1pm)
Parent or Guardian's Name: (Must be present day of event):
*
First Name
Last Name
Suffix
Contact phone number:
*
Should be Empty: