GDAF Smile Kits Order Form

Thank you for participating in Children’s Dental Health Month. Please complete the form below to request Smile Kits for your community outreach activities in February. Each kit includes a youth toothbrush, toothpaste and dental floss. We appreciate your commitment to promoting oral health and helping children across Georgia develop healthy smiles. Order deadline: November 9, 2026, or while supplies last. 

Please note: Each GDA member is limited to one order of 72 or 144 individual smile kits.