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Materials are made available to schools, childcare centers and nonprofits serving children in Cook, Lake and DuPage counties only. Requests are limited to one per school or group and are filled on a first-come, first-served basis.
Contact name (Materials will be sent to this person's attention)
Name of school, community organization or childcare center (line 1)
Street address 1 (line 2)
Street address 2 (line 3)
Please indicate the number and type of toothbrushes you need. Each toothbrush comes with a small tube of toothpaste. Maximum request of a 144 brushes.
How will you use these supplies? Will you be teaching your students about the importance of good oral health?
Is this the first time your school, organization or childcare center has requested supplies form the Chicago Dental Society?
How did you hear about the Chicago Dental Society National Children's Dental Health Month program?
If there is anything we can do to serve you better, please let us know.