Covid-19 Capture Form

At Smile Network International, protecting the health and safety of our Gala guests, donors, volunteers, and staff remains a top priority as we prepare to come together in-person to advance the mission of providing life-altering surgeries to children around the world. For this reason, we are requiring all attendees and volunteers to provide proof of vaccination or a negative COVID test 72 hours prior to attending the Gala scheduled for Saturday, October 30th, 2021. 

To help eliminate crowds upon arrival, please complete this COVID questionnaire to expedite the registration process.