Smile Squad Materials Order Form

To be completed by troop leader.

(required) indicates a required field.

Contact Information
Mailing Information

Enter the address to which you'd like materials shipped. Materials cannot be shipped to PO boxes.

Council Information

The Smile Squad Patch Program is currently available to Girl Scouts of Western Oklahoma. To get started, enter your troop information below. If you are not part of an organized troop, enter ‘Juliette’ in the Troop Number field.

If you're requesting materials for multiple troops, list all troop numbers.

Enter the number of scouts in your troop.

Enter the number of scouts in your troop.

Enter the number of scouts in your troop.

Enter the number of scouts in your troop.

Enter the number of scouts in your troop.

Enter the total number of scouts in your troop.

Activity Materials

Select the materials you would like to order:

Questions?

For questions about Delta Dental of Oklahoma Foundation’s oral health education programs, please contact Teri Bachhofer at tbachhofer@DeltaDentalOK.org.