Submit A Case

Thank you for being an Advocate by nominating someone in need of a new smile. Please fill out the form below to get the process started:

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      Advocate

    • 2

      Nominee

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      Bio

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    Advocate

    Previously incarcerated?
    [radio* incarcerated use_label_element "yes" "no"]

    In recovery for substance abuse?
    [radio* recovery use_label_element "yes" "no"]

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