Thanks for listening to Chompers!
Choose a special Chompers question to answer:
Do you speak another language? Send us a voice recording of your name, what language you speak, and say 3, 2, 1 brush in that language! Email it to Chompers@gimletmedia.com
We want to know, if you could give a bit of advice to all the kids going to the dentist for the first time - What would it be? What would you say?
What's your answer to the special question you chose above?:
Kid's First Name
Give Us Some Help Pronouncing the Kid's Name (Optional):
Kid's Last Initial (Optional):
What is your kid's pronoun? (Ex: Him, Her, Them etc)
Additional comments (Optional):
Thank You for Replying!
Please read on for some stuff the Tooth Fairy's lawyer makes us say:
By sending material through this form, you agree that you are at least 18 years old, and you grant Gimlet Media the unrestricted right to use and include the name(s) and material provided in this form within "Chompers" program content and in promotional messaging for Gimlet and the program's sponsor, P&G.
When we credit you on air, we will only use first name, last initial, and city of origin.
You certify that the material you sent to us is original with you, and you have the right to grant these permissions.
Thanks for listening! Oh, and 3 - 2 - 1 SPIT!
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Gimlet Media.