NYCDS Special Smiles Special Olympics New York 2022 Registration
Attend Special Smiles Event, Saturday, December 3rd!
When/Where:
  • Saturday, December 3rd: Jacob Javits Convention Center, 429 11th Ave., New York, NY 10001 (8:30 AM-3:00 PM)
  • Requirements: Current licensure as a Dentist or Dental Hygienist
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email *
Phone Number *
Profession *
What size T-shirt would you like?
*We will do our best to accommodate your size request*
*
Do you have proof of COVID-19 vaccination?
*
Any additional information you need us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy