Request edit access
Early Childhood Dentistry Education Kit
Teaching oral hygiene to preschoolers is important but trickier than it sounds! Establishing good dental hygiene from childhood is essential for your kids overall health.

Each kit includes
  • a Smilez toothbrushing puppet
  • a Sugar Bug Doug Book
  • a fluoride dry erase experiment
  • a magnetic board with magnetic foods
  • a flossing demonstration kit with Legos and a jump  rope
  • coloring pages
We currently have 3 kits available.

Review the checkout agreement and complete this form to request a kit: Google Doc Request
IMESD Courier locations: https://purchasing.imesd.k12.or.us/reports/pdf/courier_schedule

Contact: 
Lara Arriola, Blue Mtn. Early Learning Hub Coordinator
541-561-7657
larriola@umchs.org 

Sign in to Google to save your progress. Learn more
Name *
Email *
Job Title
Location (School/Facility)
Contact Phone Number
How do you plan to use these kits?
What is the length of time that you would like to request the kits for?
Clear selection
Is there a specific date you need the kits by? (Please allow 2 weeks for delivery.)
MM
/
DD
/
YYYY
I would like the kit delivered to the follow IMESD Courier location or will pick up from Pendleton Office:
Clear selection
I have read and agree to the check agreement terms. (type your FIRST and LAST name as your signature)
Thank You!
Your Request has been sent. Please allow 72 working hours for a response.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of InterMountain ESD.

Does this form look suspicious? Report

Google Forms