GKAS 2019 Dental Office Registration

Friday, February 01 2019, 7:00 AM - 10:00 PM [EST]

REGISTER NOW

1. Select Seats

2. Review and Proceed

Dental Admin Partial Approval -Free

If you have more than one location participating, please complete a separate form for each location.

Enter your discount code

  • Fee
  • Total amount

Event Information

Friday, February 01 2019, 7:00 AM - 10:00 PM [EST]

About the Event

In 2019, Give Kids A Smile day will take place on Friday, February 1st, 2019, at participating locations statewide. Deadline to register is November 9th, 2018.

Please note that both state and ADA registration is required for entry into the supply lottery. By completing this registration form, your office will be registered with the state and be listed on NJDA marketing materials. After completing this form please visit the link below and click on "Sign up" or "Enter event data" to complete registation with the ADA.

www.adafoundation.org/en/give-kids-a-smile/login

If you have more than one location participating on Give Kids A Smile Day, please complete a separate form for each location. 

 

When registering for Give Kids A Smile, please note that:

  • Your "office contact number" is the phone number used for NJDA to reach your GKAS contact.
  • Your "patient call-in number is the phone number used for patients to schedule an appointment.
 Watch your mail for a flash drive which includes promotional flyers, GKAS resources, and the tools you need to fill your chairs!