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:20260308T070000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:EST DTSTART:20261101T060000 END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTART;TZID=America/New_York:20260203T090000 DTEND;TZID=America/New_York:20260203T120000 DTSTAMP:20260513T193822 CREATED:20251231T142423Z LAST-MODIFIED:20260116T130318Z UID:9754-1770109200-1770120000@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-225/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260204T110000 DTEND;TZID=America/New_York:20260204T133000 DTSTAMP:20260513T193822 CREATED:20251231T142444Z LAST-MODIFIED:20260116T130336Z UID:9755-1770202800-1770211800@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-226/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260206T090000 DTEND;TZID=America/New_York:20260206T140000 DTSTAMP:20260513T193822 CREATED:20260126T183102Z LAST-MODIFIED:20260126T183102Z UID:9904-1770368400-1770386400@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-285/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260206T100000 DTEND;TZID=America/New_York:20260206T130000 DTSTAMP:20260513T193822 CREATED:20251231T142500Z LAST-MODIFIED:20260116T130354Z UID:9756-1770372000-1770382800@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-227/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260209T090000 DTEND;TZID=America/New_York:20260209T140000 DTSTAMP:20260513T193822 CREATED:20260128T195948Z LAST-MODIFIED:20260128T195948Z UID:9922-1770627600-1770645600@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-286/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260209T100000 DTEND;TZID=America/New_York:20260209T123000 DTSTAMP:20260513T193822 CREATED:20251231T142518Z LAST-MODIFIED:20260122T202039Z UID:9757-1770631200-1770640200@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-228/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260211T090000 DTEND;TZID=America/New_York:20260211T140000 DTSTAMP:20260513T193822 CREATED:20260202T152701Z LAST-MODIFIED:20260202T152701Z UID:9939-1770800400-1770818400@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-287/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260211T093000 DTEND;TZID=America/New_York:20260211T123000 DTSTAMP:20260513T193822 CREATED:20251231T142609Z LAST-MODIFIED:20260122T202103Z UID:9759-1770802200-1770813000@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-230/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260212T090000 DTEND;TZID=America/New_York:20260212T140000 DTSTAMP:20260513T193822 CREATED:20260205T145830Z LAST-MODIFIED:20260205T145830Z UID:9982-1770886800-1770904800@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-289/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260212T120000 DTEND;TZID=America/New_York:20260212T143000 DTSTAMP:20260513T193822 CREATED:20251231T142630Z LAST-MODIFIED:20260122T202123Z UID:9760-1770897600-1770906600@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-231/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260217T090000 DTEND;TZID=America/New_York:20260217T140000 DTSTAMP:20260513T193822 CREATED:20260210T132439Z LAST-MODIFIED:20260210T132439Z UID:10011-1771318800-1771336800@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-291/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260217T100000 DTEND;TZID=America/New_York:20260217T130000 DTSTAMP:20260513T193822 CREATED:20251231T142649Z LAST-MODIFIED:20260129T162321Z UID:9761-1771322400-1771333200@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-232/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260218T100000 DTEND;TZID=America/New_York:20260218T140000 DTSTAMP:20260513T193822 CREATED:20260121T201223Z LAST-MODIFIED:20260121T201223Z UID:9891-1771408800-1771423200@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-284/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260218T120000 DTEND;TZID=America/New_York:20260218T140000 DTSTAMP:20260513T193822 CREATED:20260116T204204Z LAST-MODIFIED:20260129T162337Z UID:9873-1771416000-1771423200@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-240/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260219T103000 DTEND;TZID=America/New_York:20260219T133000 DTSTAMP:20260513T193822 CREATED:20251231T142718Z LAST-MODIFIED:20251231T142718Z UID:9762-1771497000-1771507800@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-278/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260223T090000 DTEND;TZID=America/New_York:20260223T140000 DTSTAMP:20260513T193822 CREATED:20260205T150117Z LAST-MODIFIED:20260205T150117Z UID:9983-1771837200-1771855200@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-290/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260223T103000 DTEND;TZID=America/New_York:20260223T133000 DTSTAMP:20260513T193823 CREATED:20260109T144727Z LAST-MODIFIED:20260204T132423Z UID:9818-1771842600-1771853400@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-235/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260224T120000 DTEND;TZID=America/New_York:20260224T140000 DTSTAMP:20260513T193823 CREATED:20260116T204217Z LAST-MODIFIED:20260204T132435Z UID:9874-1771934400-1771941600@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-241/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260225T090000 DTEND;TZID=America/New_York:20260225T120000 DTSTAMP:20260513T193823 CREATED:20251231T142745Z LAST-MODIFIED:20260204T132447Z UID:9763-1772010000-1772020800@cphsystems.org SUMMARY:FULL - NO APPOINTMENTS AVAILABLE 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-233/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260225T090000 DTEND;TZID=America/New_York:20260225T140000 DTSTAMP:20260513T193823 CREATED:20260211T184636Z LAST-MODIFIED:20260211T184636Z UID:10027-1772010000-1772028000@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-292/ CATEGORIES:Private Appointment END:VEVENT END:VCALENDAR