When you join ADI you also join the Tooth Fairy Club!
That is if you are under the age of 12. Members of the Tooth Fairy Club get all sorts of fun and educational benefits including:

1. Lose a tooth? Call the Tooth Fairy! Children can call the Tooth Fairy Hotline, leave their name, ID number and address, and receive a surprise from the Tooth Fairy for each lost tooth.
2. Dental Care. The Tooth Fairy will send information on how to care for your teeth.
3. Get cool stuff from the Tooth Fairy in the mail
   

Please remember, this benefit is provided for enrolled children of ADI members up to the age of 12. contact ADI for more information.

I Lost My Tooth!

Child Information - Required fields are marked by *
Child's Last Name*
Child's First Name*
ADI ID Number (located on top of your ADI ID card)*
Address 1*
Address 2
City*
State*	AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY
Zip*	(99999-9999)
Age*
Date child lost his/her tooth*	(MM/DD/YYYY)
Today's Date
	It is OK for ADI to send information to me