785-856-5600 info@wegrowsmiles.com

Enter Below For A Chance to Win!

Contest Entry Form

Select ONE of the following that best describes you or your child (does not affect your chances of winning!)

11 + 13 =

No purchase necessary to enter or win.  VOID WHERE PROHIBITED BY LAW.  As an alternative form of entry, submit your name, address, telephone number and age to:  Growing Smiles LLC, ATTN: New Patient Contest, 4320 W 6th Street, Ste 101, Lawrence, KS 66049 (“Practice”). To be eligible, entrants and winners must be a Kansas resident physically residing in the State of Kansas and at least 18 years of age or older with a child requiring pediatric dental services offered by Practice.  Entries will be accepted starting on or about the Start Date and End Date listed in the official rules (“Contest Period”). All entries must be received by End Date 11:59PM CST.  Odds of winning are dependent on the number of entries during the Contest Period.  The official sponsor of the contest is Growing Smiles LLC.  The contest is subject to the official rules.  For a complete set of official rules, visit www.wegrowsmiles.com/contest-rules or mail a self-addressed, stamped envelope to the address noted herein.