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:20250309T070000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:EST DTSTART:20251102T060000 END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTART;TZID=America/New_York:20250603T110000 DTEND;TZID=America/New_York:20250603T130000 DTSTAMP:20260609T224233 CREATED:20250220T202914Z LAST-MODIFIED:20250220T202914Z UID:7845-1748948400-1748955600@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-132/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250603T113000 DTEND;TZID=America/New_York:20250603T120000 DTSTAMP:20260609T224233 CREATED:20250603T154450Z LAST-MODIFIED:20250603T154450Z UID:8425-1748950200-1748952000@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-191/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250604T090000 DTEND;TZID=America/New_York:20250604T140000 DTSTAMP:20260609T224233 CREATED:20250418T185556Z LAST-MODIFIED:20250418T185556Z UID:8184-1749027600-1749045600@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-170/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250604T120000 DTEND;TZID=America/New_York:20250604T140000 DTSTAMP:20260609T224233 CREATED:20250220T203003Z LAST-MODIFIED:20250220T203003Z UID:7846-1749038400-1749045600@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-133/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250605T090000 DTEND;TZID=America/New_York:20250605T103000 DTSTAMP:20260609T224233 CREATED:20250220T203145Z LAST-MODIFIED:20250220T203145Z UID:7847-1749114000-1749119400@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-134/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250605T090000 DTEND;TZID=America/New_York:20250605T140000 DTSTAMP:20260609T224233 CREATED:20250428T125528Z LAST-MODIFIED:20250428T125528Z UID:8216-1749114000-1749132000@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-175/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250609T090000 DTEND;TZID=America/New_York:20250609T140000 DTSTAMP:20260609T224233 CREATED:20250509T191611Z LAST-MODIFIED:20250509T191611Z UID:8289-1749459600-1749477600@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-183/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250609T093000 DTEND;TZID=America/New_York:20250609T123000 DTSTAMP:20260609T224233 CREATED:20250321T181646Z LAST-MODIFIED:20250321T181646Z UID:8008-1749461400-1749472200@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-137/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250609T113000 DTEND;TZID=America/New_York:20250609T133000 DTSTAMP:20260609T224233 CREATED:20250611T180904Z LAST-MODIFIED:20250611T180904Z UID:8487-1749468600-1749475800@cphsystems.org SUMMARY:Ivywood event 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/ivywood-event-private-car-seat-appointment/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250610T090000 DTEND;TZID=America/New_York:20250610T140000 DTSTAMP:20260609T224233 CREATED:20250429T175233Z LAST-MODIFIED:20250429T175233Z UID:8228-1749546000-1749564000@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-177/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250610T120000 DTEND;TZID=America/New_York:20250610T143000 DTSTAMP:20260609T224233 CREATED:20250321T181607Z LAST-MODIFIED:20250321T181607Z UID:8007-1749556800-1749565800@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-136/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250611T090000 DTEND;TZID=America/New_York:20250611T140000 DTSTAMP:20260609T224233 CREATED:20250528T194943Z LAST-MODIFIED:20250528T194943Z UID:8389-1749632400-1749650400@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-187/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250612T090000 DTEND;TZID=America/New_York:20250612T120000 DTSTAMP:20260609T224233 CREATED:20250321T181453Z LAST-MODIFIED:20250321T181453Z UID:8006-1749718800-1749729600@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-135/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250612T090000 DTEND;TZID=America/New_York:20250612T140000 DTSTAMP:20260609T224233 CREATED:20250507T191419Z LAST-MODIFIED:20250507T191419Z UID:8261-1749718800-1749736800@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-181/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250613T090000 DTEND;TZID=America/New_York:20250613T120000 DTSTAMP:20260609T224234 CREATED:20250618T141319Z LAST-MODIFIED:20250618T141319Z UID:8523-1749805200-1749816000@cphsystems.org SUMMARY:HFP event 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/hfp-event-private-car-seat-appointment-2/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250616T090000 DTEND;TZID=America/New_York:20250616T120000 DTSTAMP:20260609T224234 CREATED:20250321T181754Z LAST-MODIFIED:20250321T181754Z UID:8009-1750064400-1750075200@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-138/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250616T090000 DTEND;TZID=America/New_York:20250616T140000 DTSTAMP:20260609T224234 CREATED:20250506T164610Z LAST-MODIFIED:20250506T164610Z UID:8253-1750064400-1750082400@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-180/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250617T090000 DTEND;TZID=America/New_York:20250617T130000 DTSTAMP:20260609T224234 CREATED:20250321T181908Z LAST-MODIFIED:20250321T181908Z UID:8010-1750150800-1750165200@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-163/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250618T090000 DTEND;TZID=America/New_York:20250618T130000 DTSTAMP:20260609T224234 CREATED:20250508T170254Z LAST-MODIFIED:20250508T170254Z UID:8273-1750237200-1750251600@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-145/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250618T090000 DTEND;TZID=America/New_York:20250618T140000 DTSTAMP:20260609T224234 CREATED:20250513T190945Z LAST-MODIFIED:20250513T190945Z UID:8299-1750237200-1750255200@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-184/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250624T090000 DTEND;TZID=America/New_York:20250624T140000 DTSTAMP:20260609T224234 CREATED:20250529T125800Z LAST-MODIFIED:20250529T125800Z UID:8390-1750755600-1750773600@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-188/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250625T090000 DTEND;TZID=America/New_York:20250625T140000 DTSTAMP:20260609T224234 CREATED:20250520T193826Z LAST-MODIFIED:20250520T193826Z UID:8336-1750842000-1750860000@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-186/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250625T100000 DTEND;TZID=America/New_York:20250625T130000 DTSTAMP:20260609T224234 CREATED:20250326T191559Z LAST-MODIFIED:20250326T191559Z UID:8040-1750845600-1750856400@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-139/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250626T100000 DTEND;TZID=America/New_York:20250626T123000 DTSTAMP:20260609T224234 CREATED:20250618T182238Z LAST-MODIFIED:20250618T182238Z UID:8527-1750932000-1750941000@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-200/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250627T090000 DTEND;TZID=America/New_York:20250627T140000 DTSTAMP:20260609T224234 CREATED:20250610T130804Z LAST-MODIFIED:20250610T130804Z UID:8467-1751014800-1751032800@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-193/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250627T093000 DTEND;TZID=America/New_York:20250627T123000 DTSTAMP:20260609T224234 CREATED:20250326T191655Z LAST-MODIFIED:20250326T191655Z UID:8041-1751016600-1751027400@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-140/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250630T090000 DTEND;TZID=America/New_York:20250630T140000 DTSTAMP:20260609T224234 CREATED:20250610T194055Z LAST-MODIFIED:20250610T194055Z UID:8477-1751274000-1751292000@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-194/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20250630T110000 DTEND;TZID=America/New_York:20250630T143000 DTSTAMP:20260609T224234 CREATED:20250326T191833Z LAST-MODIFIED:20250326T191833Z UID:8042-1751281200-1751293800@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-141/ CATEGORIES:General Appointment END:VEVENT END:VCALENDAR