GSFD Patient Appreciation Event
  • GSFD Patient Appreciation Event

    Last Registration Day - April 24th, 2026
  • Attendee Information

    Please fill name and contact information of attendees.
  • Format: (000) 000-0000.
  • Will you have a guest (s) with you?
  • Format: (000) 000-0000.
  • Would you like to be updated about the upcoming events?
  • Join us for our annual Patient Appreciation Event as we celebrate you. Enjoy Free Food, treats, giveaways, smiles, and a fun afternoon with our team. Thank you for trusting us with your dental care now it’s our turn to celebrate you! [At this event we do take pictures and videos so please sign the consent below if you are attending]

  • Social Media Consent: I herby give Great Smiles Family Dental and any all employees and or agents of Great Smiles Family Dental, the right and permission to use and or publish photographs of me for art or promotional purposes including but not limited to advertising, publicity, commercial, or display of use. I also authorize my photos to be posted on social media such as Facebook, Instagram and the office's website page. I herby release and discharge Great Smiles Family Dental and all persons functioning under his/ her permissions or authority from any legal, or equitable claims including but not limited to the following. Blurring of images, alteration, distortion, or use in composite form, libel, invasion of privacy or any claims based on the production or in process of recording or publishing the material.

  • Should be Empty: