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:20241001T090000 DTEND;TZID=America/New_York:20241001T113000 DTSTAMP:20260610T111817 CREATED:20240814T145636Z LAST-MODIFIED:20240814T145636Z UID:6257-1727773200-1727782200@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-49/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241001T100000 DTEND;TZID=America/New_York:20241001T140000 DTSTAMP:20260610T111817 CREATED:20240912T180126Z LAST-MODIFIED:20240912T180126Z UID:6413-1727776800-1727791200@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-73/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241002T100000 DTEND;TZID=America/New_York:20241002T150000 DTSTAMP:20260610T111817 CREATED:20240924T150107Z LAST-MODIFIED:20240924T150107Z UID:6503-1727863200-1727881200@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-76/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241003T090000 DTEND;TZID=America/New_York:20241003T110000 DTSTAMP:20260610T111817 CREATED:20240814T145708Z LAST-MODIFIED:20240814T145708Z UID:6258-1727946000-1727953200@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-50/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241003T123000 DTEND;TZID=America/New_York:20241003T140000 DTSTAMP:20260610T111817 CREATED:20240814T145727Z LAST-MODIFIED:20240814T145727Z UID:6259-1727958600-1727964000@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-57/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241004T090000 DTEND;TZID=America/New_York:20241004T130000 DTSTAMP:20260610T111818 CREATED:20241003T183652Z LAST-MODIFIED:20241003T183652Z UID:6583-1728032400-1728046800@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-80/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241007T100000 DTEND;TZID=America/New_York:20241007T140000 DTSTAMP:20260610T111818 CREATED:20240923T182514Z LAST-MODIFIED:20240923T182514Z UID:6498-1728295200-1728309600@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-75/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241007T103000 DTEND;TZID=America/New_York:20241007T133000 DTSTAMP:20260610T111818 CREATED:20240814T145753Z LAST-MODIFIED:20240814T145753Z UID:6260-1728297000-1728307800@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-51/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241009T100000 DTEND;TZID=America/New_York:20241009T140000 DTSTAMP:20260610T111818 CREATED:20240925T151755Z LAST-MODIFIED:20240925T151755Z UID:6519-1728468000-1728482400@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-77/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241009T113000 DTEND;TZID=America/New_York:20241009T143000 DTSTAMP:20260610T111818 CREATED:20240814T145814Z LAST-MODIFIED:20240814T145814Z UID:6261-1728473400-1728484200@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-52/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241011T090000 DTEND;TZID=America/New_York:20241011T130000 DTSTAMP:20260610T111818 CREATED:20240912T163954Z LAST-MODIFIED:20240912T163954Z UID:6405-1728637200-1728651600@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-72/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241011T103000 DTEND;TZID=America/New_York:20241011T130000 DTSTAMP:20260610T111818 CREATED:20240814T145837Z LAST-MODIFIED:20240814T145837Z UID:6262-1728642600-1728651600@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-53/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241015T090000 DTEND;TZID=America/New_York:20241015T110000 DTSTAMP:20260610T111818 CREATED:20240814T145857Z LAST-MODIFIED:20240814T145857Z UID:6263-1728982800-1728990000@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-54/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241015T123000 DTEND;TZID=America/New_York:20241015T140000 DTSTAMP:20260610T111818 CREATED:20240814T145915Z LAST-MODIFIED:20240814T145915Z UID:6264-1728995400-1729000800@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-58/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241017T090000 DTEND;TZID=America/New_York:20241017T110000 DTSTAMP:20260610T111818 CREATED:20240814T145937Z LAST-MODIFIED:20240814T145937Z UID:6265-1729155600-1729162800@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-55/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241017T123000 DTEND;TZID=America/New_York:20241017T143000 DTSTAMP:20260610T111818 CREATED:20240814T150000Z LAST-MODIFIED:20240814T150000Z UID:6266-1729168200-1729175400@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-59/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241021T100000 DTEND;TZID=America/New_York:20241021T140000 DTSTAMP:20260610T111818 CREATED:20241008T161951Z LAST-MODIFIED:20241008T161951Z UID:6597-1729504800-1729519200@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-83/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241021T113000 DTEND;TZID=America/New_York:20241021T143000 DTSTAMP:20260610T111818 CREATED:20240814T150022Z LAST-MODIFIED:20240814T150022Z UID:6267-1729510200-1729521000@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-56/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241023T090000 DTEND;TZID=America/New_York:20241023T130000 DTSTAMP:20260610T111818 CREATED:20241003T195402Z LAST-MODIFIED:20241003T195402Z UID:6586-1729674000-1729688400@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-81/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241023T103000 DTEND;TZID=America/New_York:20241023T133000 DTSTAMP:20260610T111818 CREATED:20240814T150042Z LAST-MODIFIED:20240814T150042Z UID:6268-1729679400-1729690200@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-57/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241025T100000 DTEND;TZID=America/New_York:20241025T130000 DTSTAMP:20260610T111818 CREATED:20241010T173902Z LAST-MODIFIED:20241010T173902Z UID:6625-1729850400-1729861200@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-85/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241029T090000 DTEND;TZID=America/New_York:20241029T110000 DTSTAMP:20260610T111818 CREATED:20240814T150129Z LAST-MODIFIED:20240814T150129Z UID:6270-1730192400-1730199600@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-59/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241029T123000 DTEND;TZID=America/New_York:20241029T140000 DTSTAMP:20260610T111818 CREATED:20240814T150146Z LAST-MODIFIED:20240814T150146Z UID:6271-1730205000-1730210400@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-60/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241031T090000 DTEND;TZID=America/New_York:20241031T140000 DTSTAMP:20260610T111818 CREATED:20240930T162753Z LAST-MODIFIED:20240930T162753Z UID:6542-1730365200-1730383200@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-79/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20241031T113000 DTEND;TZID=America/New_York:20241031T140000 DTSTAMP:20260610T111818 CREATED:20240814T150213Z LAST-MODIFIED:20240814T150213Z UID:6272-1730374200-1730383200@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-60/ CATEGORIES:General Appointment END:VEVENT END:VCALENDAR