Prenatal Car Seat Session Intake Form

Prenatal Car Seat Session Intake Form
At a prenatal car seat session we will learn how to correctly use and install your infant seat, as well as learn the basics of car seat safety through all the stages.

No additional fee if you are expecting multiples!

If you are looking for some basic text support, such as help choosing the right infant seat for your vehicle, please use my Car Seat Check intake form.

Please also use this form if you already have other children in car seats.

Price includes tax; payable via cash or e-transfer.

If you need assistance and budget does not permit my fee, please contact me directly!
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Preferred method of contact

Cell Email (note my replies often hit spam) WhatsApp
Due date or scheduled delivery date

Month Day Year
Date
Are you having ...

a singleton twins triplets more!
Vehicle 1 - Make, Model, Year
Vehicle 2 - Make, Model, Year (n/a if only one vehicle)
Car seats purchased already?

Yes No, but we know what we want Help us choose
If already purchased or already decided, tell me brand & model (or write n/a)
Type of session

$50 ~ in-person session (+ $25 per additional vehicle) $40 ~ Online session
Was your car seat purchased in Canada? (To be used in Canada, car seats must have the Transport Canada seal as shown above)

Yes, eh! No .... I don't know Not purchased yet but I'll be buying a Canadian seat, eh!
If possible, upload (or email) the information sticker(s) from your seat(s): [email to carseatcubs@gmail.com]

Browse Files

Cancel of
Browse Files

Cancel of
Browse Files

Cancel of
Other child passengers in the vehicle?

Yes No Sometimes
Details on other passengers, if applicable
Book an appointment at https://carseatcubs.youcanbook.me/ Please plan to stay for 30 min - 1 hour. Seat checks take place in my garage in Springbank Hill, just off 69th St. SW, near the Signal Hill Fire Station.

Booking online now https://carseatcubs.youcanbook.me/ Contact me to book a virtual session
How did you find me?
Any other questions or comments
Add me to your mailing list *

Yes! ( bi-monthly mailings of sales, car seat tips, recall notices, etc.) No thanks!
Should be Empty:

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