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Are you over 18 years of age?

Please answer the following questions. You can submit your answers by typing below, uploading a video, or uploading a document (PDF preferred).

Please upload your video or document (up to 50MB)

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*Must be submitted by a parent if the student is under 18 years old at the time of submission.


Below are the updated Terms and Conditions for the Smile Again program. Please indicate that you have read and agree to the updated Terms and Conditions.

I have read and agree to the Terms and Conditions of the Smile Again program (listed below).

Click here to review the Official Terms & Conditions.

You are required to fully review the Official Terms & Conditions of the Smile Again Program prior to submitting your initial application.