All Reporting Persons Information Kept Strictly Confidential Choose from the following: Car Seat Inspection Child safety Station Tours Please provide the following information: Name: * Email: * Address: City: State: Phone: Requested date and time to have seat inspected: Brand of car seat, Serial number, and expiration date: Child's age and approx. height and weight Is the car seat new? Yes No Vehicle(s) year, make and model. Do you have the car seat warranty card and manual? If Yes please bring on the day of the inspections. Yes No Leave this field blank