Give Kids a Smile 2022 Volunteer Sign-Up

We are busy preparing for the 2022 Give Kids a Smile Day and we need your help! Please consider volunteering your time to help us make this event successful. Give Kids a Smile Day will be held on Saturday, February 12, 2022 at St. Raphael's Dental Clinic. 

Please take a moment to complete the form below. There are many ways to participate in this event. If you are unable to make to the event on Saturday, February 12th, consider making a donation to assist with the cost of the event or let us know if you're interested in taking on a pro bono case through the "Adopt a Child" program. 

We will be holding a brief orientation before we set up the day of the event at 7AM. We highly recommend that you attend the orientation beforehand in order for the day to run most efficiently. Please be sure to let us know if you will be there. Thank you again for your interest in helping at the 2022 Give Kids a Smile Day!
I am volunteering as a






If signing up as a staff member, please list the member dentist you currently work with.
Have you received your COVID-19 vaccination and/or booster?


Do you speak Spanish?

Will you be able to attend the event orientation on 2/12/22 at 7AM prior to the event kicking off?

I am a dentist who is interested in taking on a pro bono case through the "Adopt a Child" program
I am unable to volunteer, but would like to give a donation to assist with the costs of the GKAS event