Baby Proofing Quote Request
Request Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Client Information
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How old is your baby?
*
Imagine you are your young child. Look at your home from their perspective, looking for hazards. What safety solutions are you interested in having installed?
*
Rows
Quantity
Comments
Stairway Gate
Furniture Anchors
Cabinet Latches
Room to Room Gate
Hearth Gate
Blind Cord Cleat
Toilet Lid Lock
Oven Lock
Stove Guard
Nursery Monitor Mounting/Cord Control
Door Latches
Outdoor Deck Gate
Other (Specify hazard in comments)
Other (Specify hazard in comments)
If you've selected gates, please upload a photo for each area you'd like gated.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If you've selected furniture brackets, please take a photo of each piece of furniture you'd like bracketed.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have any unsafe openings that may need acrylic? Unsafe = ladder style, or gapes wider than 4"? If so, please take a photo.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What's your target installation date?
Please Select
ASAP!
1 month from now
2-3 months from now
3-6 months from now
6-12 months from now
12 months +
Anything else you'd like us to know?
Submit
Should be Empty: