Car Seat Check-Up Appointment Request
Thank you for your interest in a car seat check. Please fill out this form with installation details and we will be in touch to schedule your appointment. Our job as CPST's is to teach you proper installation so that you feel confident re-installing on your own. This will be hands-on for the parent or guardian. Car Seat appointments are held outside, please keep in mind to dress for the elements. If we need to cancel due to weather, we will notify you ASAP.
Name
Your answer
Phone Number
Your answer
E-mail Address
Your answer
Did you purchase your child's car seat from Sprout?
Please note, we offer FREE checks on seats purchased from Sprout. All other seats can be checked for a $25 donation to the local Dubuque Car Seat Coalition to help less-fortunate families purchase car seats.
If you answered yes above, please provide the approximate date so we can verify your purchase to qualify for a free check
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Child 1: Date of Birth
Use zero if pregnant
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DD
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Child 1: Weight
Use zero if pregnant
Your answer
Child 1: Height
Use zero if pregnant, if you aren't sure, answer with ?
Your answer
Child 2: Date of Birth
MM
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DD
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YYYY
Child 2: Weight
Your answer
Child 2: Height
Your answer
Car Seat Model/Brand
Your answer
If you have more than 2 children, please list their birth dates, heights, weights, and seat types below
Your answer
Car Seat Type being installed
Not sure? Click "other"
Required
Vehicle Make, Model & Year
This will help us be prepared for your specific vehicle in regards to seat configuration
Your answer
We offer help with car seat installs Monday-Friday between 9-5. Some nights may be available based on tech availability. Please check all the days that work for you and we will do our best to accommodate.
Any other information you'd like to provide:
Your answer
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