SCL Application Payment

Per the email you received regarding your child’s application to the Smiles Change Lives program, we experienced a “glitch” in the transmission of your payment and so you were not charged and we did not receive the required $30 application fee payment.

We apologize for the inconvenience, but your application is currently on hold until we receive the application fee.

Please complete the boxes below with your child’s name and your name so that we can match it to the application. When you click the blue payment button, you will be redirected to PayPal. You do not need a PayPal account. Simply select the grey button that says “pay with credit or debit card”.


Child’s Name:
Your Name:


Thank you again for your prompt attention to this matter!