BEGIN:VCALENDAR VERSION:2.0 PRODID:-//Car Seats and Cribs - CPH Injury Prevention - ECPv6.5.1.4//NONSGML v1.0//EN CALSCALE:GREGORIAN METHOD:PUBLISH X-ORIGINAL-URL:https://cphsystems.org/car-seats X-WR-CALDESC:Events for Car Seats and Cribs - CPH Injury Prevention REFRESH-INTERVAL;VALUE=DURATION:PT1H X-Robots-Tag:noindex X-PUBLISHED-TTL:PT1H BEGIN:VTIMEZONE TZID:America/New_York BEGIN:DAYLIGHT TZOFFSETFROM:-0500 TZOFFSETTO:-0400 TZNAME:EDT DTSTART:20240310T070000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:EST DTSTART:20241103T060000 END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTART;TZID=America/New_York:20240501T100000 DTEND;TZID=America/New_York:20240501T140000 DTSTAMP:20260610T191337 CREATED:20240318T140743Z LAST-MODIFIED:20240318T142232Z UID:5228-1714557600-1714572000@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-3/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240502T100000 DTEND;TZID=America/New_York:20240502T140000 DTSTAMP:20260610T191337 CREATED:20240318T143130Z LAST-MODIFIED:20240318T143130Z UID:5269-1714644000-1714658400@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240507T093000 DTEND;TZID=America/New_York:20240507T120000 DTSTAMP:20260610T191337 CREATED:20240329T125733Z LAST-MODIFIED:20240329T125733Z UID:5341-1715074200-1715083200@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240509T100000 DTEND;TZID=America/New_York:20240509T140000 DTSTAMP:20260610T191337 CREATED:20240318T140743Z LAST-MODIFIED:20240318T142231Z UID:5229-1715248800-1715263200@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-4/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240509T153000 DTEND;TZID=America/New_York:20240509T160000 DTSTAMP:20260610T191337 CREATED:20240508T153055Z LAST-MODIFIED:20240508T153055Z UID:5572-1715268600-1715270400@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-10/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240510T100000 DTEND;TZID=America/New_York:20240510T130000 DTSTAMP:20260610T191337 CREATED:20240513T121028Z LAST-MODIFIED:20240513T121028Z UID:5578-1715335200-1715346000@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-12/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240510T130000 DTEND;TZID=America/New_York:20240510T140000 DTSTAMP:20260610T191337 CREATED:20240429T125027Z LAST-MODIFIED:20240429T125027Z UID:5496-1715346000-1715349600@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-7/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240511T100000 DTEND;TZID=America/New_York:20240511T130000 DTSTAMP:20260610T191337 CREATED:20240513T120944Z LAST-MODIFIED:20240513T120944Z UID:5577-1715421600-1715432400@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-11/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240514T093000 DTEND;TZID=America/New_York:20240514T123000 DTSTAMP:20260610T191337 CREATED:20240329T131131Z LAST-MODIFIED:20240329T131131Z UID:5342-1715679000-1715689800@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-2/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240515T100000 DTEND;TZID=America/New_York:20240515T140000 DTSTAMP:20260610T191337 CREATED:20240318T140743Z LAST-MODIFIED:20240318T142231Z UID:5230-1715767200-1715781600@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-5/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240515T130000 DTEND;TZID=America/New_York:20240515T133000 DTSTAMP:20260610T191337 CREATED:20240516T192550Z LAST-MODIFIED:20240516T192550Z UID:5601-1715778000-1715779800@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-14/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240516T130000 DTEND;TZID=America/New_York:20240516T150000 DTSTAMP:20260610T191337 CREATED:20240430T201659Z LAST-MODIFIED:20240430T201659Z UID:5541-1715864400-1715871600@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-9/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240517T110000 DTEND;TZID=America/New_York:20240517T140000 DTSTAMP:20260610T191337 CREATED:20240521T123532Z LAST-MODIFIED:20240521T123532Z UID:5628-1715943600-1715954400@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-16/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240520T093000 DTEND;TZID=America/New_York:20240520T120000 DTSTAMP:20260610T191337 CREATED:20240329T131615Z LAST-MODIFIED:20240329T131615Z UID:5343-1716197400-1716206400@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-13/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240520T120000 DTEND;TZID=America/New_York:20240520T130000 DTSTAMP:20260610T191337 CREATED:20240515T133019Z LAST-MODIFIED:20240515T133019Z UID:5591-1716206400-1716210000@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-13/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240522T100000 DTEND;TZID=America/New_York:20240522T140000 DTSTAMP:20260610T191337 CREATED:20240318T140742Z LAST-MODIFIED:20240318T142231Z UID:5231-1716372000-1716386400@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-6/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240522T113000 DTEND;TZID=America/New_York:20240522T120000 DTSTAMP:20260610T191337 CREATED:20240522T122226Z LAST-MODIFIED:20240522T122226Z UID:5641-1716377400-1716379200@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-17/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240528T120000 DTEND;TZID=America/New_York:20240528T123000 DTSTAMP:20260610T191337 CREATED:20240529T181510Z LAST-MODIFIED:20240529T181510Z UID:5713-1716897600-1716899400@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-20/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240528T123000 DTEND;TZID=America/New_York:20240528T153000 DTSTAMP:20260610T191337 CREATED:20240411T161833Z LAST-MODIFIED:20240411T161833Z UID:5413-1716899400-1716910200@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-8/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240529T100000 DTEND;TZID=America/New_York:20240529T130000 DTSTAMP:20260610T191337 CREATED:20240503T142420Z LAST-MODIFIED:20240503T142420Z UID:5551-1716976800-1716987600@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-22/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240529T140000 DTEND;TZID=America/New_York:20240529T143000 DTSTAMP:20260610T191338 CREATED:20240517T192746Z LAST-MODIFIED:20240517T192746Z UID:5611-1716991200-1716993000@cphsystems.org SUMMARY:Private Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/private-appointment-private-car-seat-appointment-15/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20240530T100000 DTEND;TZID=America/New_York:20240530T140000 DTSTAMP:20260610T191338 CREATED:20240318T140742Z LAST-MODIFIED:20240412T171343Z UID:5232-1717063200-1717077600@cphsystems.org SUMMARY:Car Seat Appointment DESCRIPTION:2024 - Registrant Information\n\n\n\n\n\n\n\n\n\n\n\n Appt. Date\n *\n \n \n \n \n\n\n Appt. Time\n \n \n 6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM\n \n \n\n\n Appointment\n *\n \n \n \n \n\n\n\n I am scheduling this appointment for...\n *\n \n \n Myself\n \n Someone Else\n\n \n \n\n\n Your Name (First and Last)\n *\n \n \n \n \n\n\n Agency/Program/Relation\n *\n \n \n \n \n\n\n Email\n *\n \n \n \n \n\n\nRegistrant Information\n\n\n\n First Name\n *\n \n \n \n \n\n\n Last Name\n *\n \n \n \n \n\n\n Relation to Child\n *\n \n \n MotherFatherLegal GuardianOther \n Relation to Child\n \n \n\n\n Preferred Language\n *\n \n \n Select Your LanguageEnglishSpanishHaitian CreoleNepaliSomaliFrenchTigrinyaArabicOther \n Preferred Language\n \n \n\n\n Do you need an interpreter?\n *\n \n \n Yes\n \n No\n\n *7 day notice required for interpreter\n \n\n\n\n Receiving WIC\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Receiving Medicaid\n *\n \n \n YesNoAppliedIncome EligibleNot Eligible \n \n \n \n\n\n Medicaid Provider\n *\n \n \n AmeriHealth CaritasAnthemBuckeyeCareSourceHumana Healthy HorizonsMolinaUnitedHealthcare Community PlanI don't know \n \n \n \n\n\n How did you hear about our program?\n *\n \n \n CelebrateONECPH WebsiteDoctor/PediatricianFriend/FamilyMy Baby & MePamphletPolice/Law EnforcementPrevious ClassSocial Media/Search EngineVineyardWalk InWICOther \n How did you hear about our program?\n Please specify\n \n\n\n Are you pregnant or expecting?\n *\n \n \n Yes\n \n No\n\n (If "Yes"\, don't forget to include this child below)\n \n\n\n Expected Delivery Date\n *\n \n \n \n \n\n\n\nList All Children Under the Age of 8 WITHOUT a Car Seat or Booster Seat\nBy Ohio law\, all children under the age of 8 years old must ride in a car seat or booster seat\n\n \nChild \n\n Has this child been born yet?\n *\n \n \n Yes\n \n No\n\n \n \n\n\n Child's First Name\n *\n \n \n \n \n\n\n Date of Birth\n *\n \n \n \n \n\n\n\n Child's Weight\n *\n \n \n 0 - 39lbs40lbs - 65lbsOver 65lbs \n \n \n \n\n\n\n\n\n plus\n \n\n Add another child\n\n minus\n \n\n Remove this child \n\n\n\n\nHousehold Information\n\n\n\n Zip Code\n *\n \n \n \n \n\n\n Mobile/Cell Number\n *\n \n \n 10-digit mobile number for text reminders\n \n\n\n Email\n \n \n \n *email provided will be used for Car Seat Program communications only\n \n\n\n\n Comments / Special Requests\n \n \n 0 of 150 max words\n \n \n\n\n\n\n\nFollow-up\n\n\n\n Ethnicity\n \n \n \n African AmericanAsianCaucasianHispanicSomaliOther \n Ethnicity\n \n \n\n\n Attendance\n \n \n \n AttendedDid Not AttendDeclined Car SeatCancelled \n \n \n \n\n\n\nDate of Manufacture\n\n\n \n\n Seat Type\n \n \n \n RFOConvertibleConvertible - RFConvertible - FFHighbackBackless \n \n \n \n\n\n Date of Manufacture\n \n \n \n \n \n\n\n plus\n \n\n Add\n\n minus\n \n\n Remove \n\n\n\nPayment\n\n\n\n Amount Paid\n \n \n \n \n \n\n\n Payment Type\n \n \n \n Cash\n \n Check\n\n \n \n\n\n Check Number\n *\n \n \n \n \n\n\n\nConsents\n\n\n\n Consent Statements\n *\n \n \n I understand I have to pay a fee for my car seat(s) and/or booster seat(s) at the time of my appointment.\n\n \n \n\n\n Appointment Consent\n *\n \n \n I understand the appointment will take 20 – 30 minutes to cover the full education of the car seat and its installation.\n\n \n \n\n\n\n\n\n\n\n\n \n\n\n\n\n\n\n \n \n \n If you are human\, leave this field blank. URL:https://cphsystems.org/car-seats/event/car-seat-appointment-7/ CATEGORIES:Private Appointment END:VEVENT END:VCALENDAR