Car Seat and Booster Seat Check Appointment Request
Braham Police Department
Please fill out the information below to sign up for a Car Seat and Booster Seat check. We will get back to you with more information. Please contact rsmith@brahammn.gov with any questions.
Select Seat Check Event
*
Individual Request
Attendee Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Residence Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your child unborn?
*
Yes
No
Child Name
First Name
Last Name
Child Age
Child Height
Child Weight
Does your child have special transportation needs?
*
Yes
No
Will your child be with you at the event?
*
Yes
No
Do you have a car seat(s) in your vehicle currently?
*
Yes, I will have a car seat(s) in my vehicle when attending my appointment.
No
Vehicle Make/Model
*
ex: Ford/F150
Vehicle Year
*
Car Seat Manufacture
*
Car Seat Model Name
*
Car Seat Model Number
*
Car Seat Manufacture Date
*
Please Upload a Photo of your Car Seat Label
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you registered your car seat with the manufacturer?
*
Yes
No
Has this car seat been in a crash?
*
Yes
No
Unknown
Submit
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