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Car Seat Check

2. First Name*

3. Last Name*

5. Email Address*

7. Phone Number

9. Prefferred Date/Time*
   Prefferred Date/Time

   Prefferred Date/Time

10. Alternative Date/Time
    Alternative Date/Time

    Alternative Date/Time

11. 2 Alternative Date/Time
    2 Alternative Date/Time

    2 Alternative Date/Time

13. Car Year *

14. Car Make and Model *

16. Child's Age *

17. Type of Carseat*

19. COVID-19 Note
    Currently car seat checks are only available for one adult per visit. If child is needed for fitting they are welcome, otherwise please keep them home. Masks are not required but if for your comfort level you would like to wear one, please bring your own as Sun Prairie Fire will not be providing them. If you are not feeling well please call to reschedule. Due to limited appointments available as well as rotating shifts, please understand it may take at least 48 hours for a response.

    Currently car seat checks are only available for one adult per visit. If child is needed for fitting they are welcome, otherwise please keep them home. Masks are not required but if for your comfort level you would like to wear one, please bring your own as Sun Prairie Fire will not be providing them. If you are not feeling well please call to reschedule. Due to limited appointments available as well as rotating shifts, please understand it may take at least 48 hours for a response.

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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