By submitting this form, you agree to the following:

• You have permission from the nominee to submit their information and photo

• WM Dental Care may contact you and/or the nominee regarding this giveaway

• Submitted photos and stories may be used for marketing purposes, including social media and promotional materials

• Participation does not guarantee selection as the winner

• The winner will be selected at the sole discretion of WM Dental Care

• Submissions must be received by May 9, 2026

• Information submitted will not be sold or shared outside of this promotion