Community Donation Request Form

Support & Donation Requests – Winning Smiles Giving Back!

At Winning Smiles, we love supporting our community and giving back to the schools, teams, and organizations that make it so special! While we would love to say yes to every request, we receive a high volume of sponsorship and donation inquiries throughout the year. To ensure fairness and better manage our contributions, we’ve created a Donation Request Form to streamline the process.

How to Request Support:

* Fill out our Donation Request Form

* Submit your request at least 4 weeks in advance

* Provide details about your organization and how we can help you towards your goal

We carefully review each request and do our best to support as many groups as possible. If selected, we will reach out to coordinate the details.

Thank you for thinking of Winning Smiles as a partner in your cause! We appreciate all the amazing work being done in our community and look forward to supporting as many initiatives as we can.

Please complete the form below

Name

First Name

Last Name

Email

Requesting Organization Name

Do you have a child that is currently a patient at our office?

Yes

No

Please include what type of donation you are requesting and any other information you feel is helpful. In the box below please upload any documents pertaining to the donations request. (Example: event flyer)