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2. 
4. Car Seat Inspections

   Our goal is to educate you on safe practices in transporting your child and ensuring you feel comfortable and confident in the installation of your child safety seat. After the appointment, you should be able to install the child safety seat on your own and secure the child correctly.

   The appointment should last approximately 20-30 minutes, but may go longer depending on vehicle and child safety seat.

   If possible, please bring the following to the appointment:

   • Child safety seat manual
   • Vehicle manual
   • The child who will be utilizing the child safety seat, if possible
6. First Name:*
7. Last Name:*
9. Address 1:
10. Address 2:
12. City:
13. State:
14. Zip:
16. Phone:*
17. E-Mail:*
19. CHILD'S INFORMATION
21. First Name:
22. Last Name:
24. Age
25. Weight
26. Height
28. Developmental Level
30. VEHICLE INFORMATION
32. Make
33. Model
34. Year
36. CHILD SAFETY SEAT INFORMATION
38. Manufacturer
39. Model
41. WE WILL BE IN TOUCH

    The information provided in this form will help our technician prepare for your appointment by checking for recalls on vehicle or child safety seat and reviewing the appropriate manuals for the vehicle or child safety seat.  

    A member of our staff will contact you shortly to schedule the appointment.  If you have any questions, please call 708-687-6050. Thank you.

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