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Give Kids A Smile
Volunteer Sign Up Form

February ​2nd, 2019 UNLV School of Dental Medicine


***ALL FIELDS MUST BE COMPLETE***

Event Hours 7:30 AM - Approx. 2 PM Breakfast and Lunch will be provided.
Additional information regarding the day of event will be sent to all volunteers via email.

MUST HAVE TO PARTICIPATE (If neither Dentist or Hygienist type NA)
I AM COMFORTABLE BEING A TREATMENT PROVIDER

I would prefer to treat children


Provider Type







For Students (Please Select)



I AM A RETURNING VOLUNTEER

I SPEAK SPANISH

"Local":"SouthernNV"