Car Seat Check Appointment Application
If you would like to make an appointment with one of our Child Passenger Safety Technicians, please fill out this form. The more information that is provided, the more prepared the technician will be upon the time of the appointment. All car seat information can be found on the labels placed directly on the car seat or within the manufacturers guide book. If you are able, please make sure to have your car seat and vehicle manufacture manuals.
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Email *
Full Name *
Please list the best way to contact you. (Phone #/Email Address)
*
When is the best time to contact you?
*
Time
:
How old is the child?
*
How tall is the child? *
How much does the child weight?
*
What is the brand and model number of the Child Seat?
*
Questions?
Submit
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