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SMILES MADE FREE BRACES GIVEAWAY

We want to give the gift of a confident smile to someone in the Bakersfield community. But we need your help!

Would you or someone you know benefit from the gift of a new smile?

Please nominate them for our Free Braces Giveaway!

Your Full Name*
First Last
Your Phone Number*
Your Email*
Who Do You Nominate?*
First Last
Why Do You Feel this Person Deserves Free Orthodontic Care?*
Would You Like to Share a Photo?
Max. file size: 50 MB.
Is There Anything Else You'd Like To Share About This Person?
How Did You Hear About This Giveaway?*
Terms & Conditions*
I have read and agree to the terms & conditions.
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Nomination window closes Oct. 29, 2021. Click here to read the Terms & Conditions.