Car Seat Safety Checks

Car Seat Safety Checks
During your session with our CPST, they will give you personalized instruction and hands-on assistance to ensure that your child’s car seat is properly installed and that you’re prepared for future installations. Most appointments take 30-45 minutes, but this varies based on the installation complexity and questions that you have. We want to make sure that you are prepared with as much information as possible.
Adult/Parent/Guardian Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Due date if you/your partner is currently pregnant
Do you have any specific concerns about your car seat installation that your would like addressed?
Vehicle Information
Year
Make
Model
Color
Car Seat Information
Brand of Car Seat (Ex. Chico, Graco, etc.)
Model of Car Seat (ex. Ellaris, Everfit All-in-1, Revolve, etc.)
Is this car seat currently installed in the vehicle?
Is this car seat currently installed in the vehicle?
Child's Information
Child's Age, or due date if you/your partner is currently pregnant
Child's Height (if currently pregnant, please put N/A)
Child's Weight (if currently pregnant, please put N/A)
Second Child's Information (If applicable)
Second Child's Age, or due date if you/your partner is currently pregnant
Second Child's Height (if currently pregnant, please put N/A)
Second Child's Weight (if currently pregnant, please put N/A)
Should be Empty:

Car Seat Safety Checks

Adult/Parent/Guardian Information

Vehicle Information

Car Seat Information

Child's Information

Second Child's Information (If applicable)