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Sign Up Your New GKAS Program
Log In to Your Existing Program
Thank you for participating in the Give Kids A Smile (GKAS) program. The GKAS sign-up system has been upgraded to serve you better. It should take approximately 20-30 minutes to complete. If you begin the sign-up process and find you do not have time to complete it, you may click "Exit" at the bottom of the page and return to complete your record at a later date. You may also return frequently to update your information.

Please note: After signing up your program you will receive an email with your Permanent User ID. This Permanent User ID is your unique Give Kids A Smile program identifier. The sign-up system will retain your primary program contact information from this year forward. We strongly encourage you to print the confirmation email and make it easily accessible for future use.

If you have any questions throughout the sign-up process, please contact the Give Kids A Smile team at 800.621.8099 or email at

Acknowledge the Terms and Conditions below and click "Next" in order to sign up your program.

GIVE KIDS A SMILE SIGN-UP TERMS AND CONDITIONS: In order to process your Give Kids A Smile sign-up information, you must accept the following terms and conditions outlined below.
If you do not accept the terms, your information will not be processed.
  • By participating in the ADA Foundation’s Give Kids A Smile program, you hereby agree that the products received are to be used solely in conjunction with the GKAS program and are to be used solely for the provision of providing charity care to underserved children whose families are unable to pay for services.
  • You hereby agree to utilize only properly trained and licensed personnel to provide oral health services who operate within state or federal practice acts.
  • Be in good standing with state practice acts; OSHA requirements and applicable state and federal statutes.
  • Completion of the Give Kids A Smile product request does not constitute "placing an order" for professional or consumer product. You are simply requesting free product.
  • If you are awarded product, you agree to return to the GKAS system to report your actual event data. You must report your actual event data if you want to be considered for free product the next year.
  • Please report your event data as accurately as possible and without exaggeration. This will allow the ADA Foundation to report program numbers to policymakers.
  • Our sponsors will fulfill your request for free product if at all possible but make no guarantees.
  • Receiving product last year does not guarantee that you will receive product this year; it may be that you do not receive it again this year, especially if you did not enter your actual event data the prior year.

If you have any questions about the these terms and conditions, please contact the GKAS team at
Thank you.

 I acknowledge terms and conditions