Move4SMILE Campaign Sign Up Form
Start your own awareness campaign to help spread awareness and support for children and youth with disabilities through SMILE Canada.Whether you want to walk, run, bike, host an event, or create your own challenge, every campaign helps raise awareness, spark conversations, and bring communities together in support of families of children with disabilities.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What activity or challenge will you be doing?
*
Will you be participating as part of a team/group?
*
Yes
No
Would you like to add a special message to your campaign page?
What is your fundraising goal? It can be as little as $10
*
Are you comfortable being featured on SMILE’s social media?
*
Yes
No
Share a Photo of Yourself or Your Team (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
*
I understand that Move4SMILE is a community initiative focused on raising awareness and support for children and youth with disabilities, and I agree to represent the campaign in a respectful and positive way.
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