Avery Ortho Cares

At Avery Orthodontics, we love supporting the activities our patients are passionate about. Because we receive many requests each year, we carefully review each application to determine where we can make the greatest impact. If you would like to be considered as an AO community partner for the 2026-2027 season, please take a few minutes to complete the form below and share more about your activity, organization, and how our support will make a difference. While we would love to support every request, our sponsorship resources are limited, and unfortunately we are not able to guarantee funding for every application. Thank you for taking the time to share your passion and for allowing us the opportunity to be a part of your journey.

Patient Information:

Bold Fields are required.

Active Patient's Name: First and Last Parent/Guardian Name: First and Last Phone: Email:

Tell Us About Your Organization Organization/School/Team Name: Type of Organization Website: (if applicable)

Sponsorship Details: Amount Requested: What will the funds be used for?: Sponsorship Deadline:

Tell Us Your Story: Why is this activity important to you or your child? How does participating benefit the community, school, or team? If selected, how will Avery Orthodontics’ support make a difference? What other fundraising efforts have you or your team/organization plan to participate in this season?

Partnership Opportunities:

How can you help us share this partnership? (Check all that apply.)

Team photo with our sponsorship banner Social media shout-out (tagging Avery Orthodontics) Event recognition or program listing Booth or table opportunity (if applicable) Team visit/photo at our office after the season Other

Commitment:

If selected, we agree to:

● Represent Avery Orthodontics in a positive manner.

● Share how the sponsorship made a difference by sending a photo or brief update after the season or event so Avery Orthodontics can share it on their social media (Facebook and Instagram) as part of the Avery Ortho Cares series.

● Understand that submitting this application does not guarantee sponsorship.

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