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MDS Interest Form

Million Dollar Smiles is an independent OPACC program which exists to put smiles on faces of children facing adversity from life altering diagnosis and special needs. 

Bear Drive: Each year over 250 sponsors and volunteers take time during the busy Holiday season and deliver cuddly 4ft. tall teddy bears - each with a $100 gift card - to children aged 18 & under in the GTA. 

Playground Builds: During the summer months, Million Dollar Smiles receives sponsorships to build playgrounds in the backyards of selected MDS children aged 10 months to 10 years. Measurement requirements need to be 22ft X 24ft clearance. Please note that playgrounds are not guaranteed and are dependent on finding a local sponsor to pay for the playground.

If you would like to sign up your child to be considered for one or both of these programs, please fill out this form below and a Million Dollar Smiles representative will be in touch!

Eligibility: For residents of Ontario, Canada only. Children on or off treatment are eligible as long as they have not received a Bearhug or a playground in the past, and meet the age requirements listed above for each program.

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Which programs would you like to register for?
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Required
Parent's First & Last Name
Child's First & Last Name
Child's Age
Complete address (street address & city, include any apartment/unit # or buzzer # if applicable)
Phone
Email
Child's diagnosis/medical history
Number of siblings & their ages (up to age 18 only)
Would you like to sign up for the Million Dollar Smiles newsletter?
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Would you like to volunteer with Million Dollar Smiles?
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Any other comments or questions
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