Car Seat Check Appointment Request
Name of Child Needing Car Seat Checked
First Name
Last Name
How old is the child? If the child is under one year, how many months old are they?
Name of Parent/Guardian Attending Car Seat Check
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
We typically operate Monday - Thursday 9am to 4pm, and Fridays 9am to 12pm. Do you have a preferred day and time during these hours?
What is the year, make, and model of the vehicle that the car seat will be installed in?
What is the brand and model number of your current car seat?
If you know your child's height and weight, please enter below. If you do not know your child's height and weight, they will be taken on site during the car seat check.
Is there anything we should know about you, your child, your car, or your car seat prior to the car seat check?
Submit
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