All TO Smiles recipients are required to design and complete a 40 hour Pay It Forward service project. Piper organized a charity drive for adolescents in area hospitals at Christmas. She helped gather and gift more than 500 items, including: arts and crafts, movies, stuffed animals, blankets, games, bath and beauty products, gift cards, clothes, adult coloring books, games and make up bags. Piper said the project had a lasting impact on her: “It pushed me outside my comfort zone to send emails, set up this whole project, step into a leadership role, and to remember the true meaning of Christmas which is giving.”