Personalized Letter & Club Membership

Hidden Fields

* = Required Field

Adult's Name and Contact Information *
Address *
Your Email Address *
Your Phone Number *
Child's First Name *
Your Name to Appear in Letter *
(For example: Grandma, Dad, Mom, Uncle Bob, Nana)
Child's Birthdate
For teachers who are registering an entire class
Security Code
Type the text shown in the box into the field below. All characters must be entered in UPPERCASE.
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America's ToothFairy: National Children's Oral Health Foundation®
4108 Park Road
Suite 300
Charlotte, NC 28209
(704) 350-1600
(704) 350-1333 - Fax
(800) 559-9838 - Toll Free