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-WR-CALNAME:Car Seats and Cribs - CPH Injury Prevention 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:20260302T093000 DTEND;TZID=America/New_York:20260302T140000 DTSTAMP:20260513T175822 CREATED:20260226T164922Z LAST-MODIFIED:20260226T164922Z UID:10126-1772443800-1772460000@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-297/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260302T120000 DTEND;TZID=America/New_York:20260302T140000 DTSTAMP:20260513T175822 CREATED:20260204T133946Z LAST-MODIFIED:20260217T125541Z UID:9956-1772452800-1772460000@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-242/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260303T100000 DTEND;TZID=America/New_York:20260303T120000 DTSTAMP:20260513T175822 CREATED:20260204T134110Z LAST-MODIFIED:20260219T185055Z UID:9957-1772532000-1772539200@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-243/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260303T100000 DTEND;TZID=America/New_York:20260303T140000 DTSTAMP:20260513T175822 CREATED:20260219T125005Z LAST-MODIFIED:20260219T125005Z UID:10055-1772532000-1772546400@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-293/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260304T090000 DTEND;TZID=America/New_York:20260304T140000 DTSTAMP:20260513T175822 CREATED:20260226T144557Z LAST-MODIFIED:20260226T144557Z UID:10123-1772614800-1772632800@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-296/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260304T093000 DTEND;TZID=America/New_York:20260304T123000 DTSTAMP:20260513T175822 CREATED:20260114T145948Z LAST-MODIFIED:20260223T143329Z UID:9848-1772616600-1772627400@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-236/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260305T090000 DTEND;TZID=America/New_York:20260305T120000 DTSTAMP:20260513T175822 CREATED:20260305T174418Z LAST-MODIFIED:20260305T174418Z UID:10171-1772701200-1772712000@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-301/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260305T130000 DTEND;TZID=America/New_York:20260305T140000 DTSTAMP:20260513T175822 CREATED:20260305T184208Z LAST-MODIFIED:20260305T184208Z UID:10179-1772715600-1772719200@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-303/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260309T090000 DTEND;TZID=America/New_York:20260309T140000 DTSTAMP:20260513T175822 CREATED:20260220T142435Z LAST-MODIFIED:20260220T142435Z UID:10077-1773046800-1773064800@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-294/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260309T120000 DTEND;TZID=America/New_York:20260309T140000 DTSTAMP:20260513T175822 CREATED:20260204T134205Z LAST-MODIFIED:20260217T125632Z UID:9958-1773057600-1773064800@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-244/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260310T090000 DTEND;TZID=America/New_York:20260310T120000 DTSTAMP:20260513T175823 CREATED:20260204T134244Z LAST-MODIFIED:20260219T133311Z UID:9959-1773133200-1773144000@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-245/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260310T090000 DTEND;TZID=America/New_York:20260310T140000 DTSTAMP:20260513T175823 CREATED:20260224T161737Z LAST-MODIFIED:20260224T161737Z UID:10106-1773133200-1773151200@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-295/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260312T100000 DTEND;TZID=America/New_York:20260312T130000 DTSTAMP:20260513T175823 CREATED:20260114T150004Z LAST-MODIFIED:20260219T133328Z UID:9849-1773309600-1773320400@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-237/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260312T100000 DTEND;TZID=America/New_York:20260312T130000 DTSTAMP:20260513T175823 CREATED:20260305T125336Z LAST-MODIFIED:20260305T125336Z UID:10165-1773309600-1773320400@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-300/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260316T090000 DTEND;TZID=America/New_York:20260316T140000 DTSTAMP:20260513T175823 CREATED:20260312T164851Z LAST-MODIFIED:20260312T164851Z UID:10228-1773651600-1773669600@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-306/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260316T110000 DTEND;TZID=America/New_York:20260316T133000 DTSTAMP:20260513T175823 CREATED:20260114T150026Z LAST-MODIFIED:20260224T152118Z UID:9850-1773658800-1773667800@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-238/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260318T090000 DTEND;TZID=America/New_York:20260318T120000 DTSTAMP:20260513T175823 CREATED:20260204T134323Z LAST-MODIFIED:20260204T134323Z UID:9960-1773824400-1773835200@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-288/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260319T090000 DTEND;TZID=America/New_York:20260319T140000 DTSTAMP:20260513T175823 CREATED:20260311T163528Z LAST-MODIFIED:20260311T163528Z UID:10221-1773910800-1773928800@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-305/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260319T100000 DTEND;TZID=America/New_York:20260319T130000 DTSTAMP:20260513T175823 CREATED:20260204T134428Z LAST-MODIFIED:20260303T130627Z UID:9961-1773914400-1773925200@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-246/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260320T090000 DTEND;TZID=America/New_York:20260320T140000 DTSTAMP:20260513T175823 CREATED:20260316T153312Z LAST-MODIFIED:20260316T153312Z UID:10248-1773997200-1774015200@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-308/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260320T090000 DTEND;TZID=America/New_York:20260320T140000 DTSTAMP:20260513T175823 CREATED:20260316T153918Z LAST-MODIFIED:20260316T153918Z UID:10249-1773997200-1774015200@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-309/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260323T100000 DTEND;TZID=America/New_York:20260323T120000 DTSTAMP:20260513T175823 CREATED:20260204T134509Z LAST-MODIFIED:20260226T152755Z UID:9962-1774260000-1774267200@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-247/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260323T100000 DTEND;TZID=America/New_York:20260323T140000 DTSTAMP:20260513T175823 CREATED:20260319T122220Z LAST-MODIFIED:20260319T122220Z UID:10277-1774260000-1774274400@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-310/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260324T090000 DTEND;TZID=America/New_York:20260324T140000 DTSTAMP:20260513T175823 CREATED:20260313T183321Z LAST-MODIFIED:20260313T183321Z UID:10238-1774342800-1774360800@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-307/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260324T120000 DTEND;TZID=America/New_York:20260324T143000 DTSTAMP:20260513T175823 CREATED:20260114T150051Z LAST-MODIFIED:20260217T125752Z UID:9851-1774353600-1774362600@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-239/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260325T143000 DTEND;TZID=America/New_York:20260325T163000 DTSTAMP:20260513T175823 CREATED:20260326T125506Z LAST-MODIFIED:20260326T125506Z UID:10328-1774449000-1774456200@cphsystems.org SUMMARY:HFP 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-private-car-seat-appointment/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260326T090000 DTEND;TZID=America/New_York:20260326T140000 DTSTAMP:20260513T175823 CREATED:20260227T163411Z LAST-MODIFIED:20260227T163411Z UID:10127-1774515600-1774533600@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-298/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260326T100000 DTEND;TZID=America/New_York:20260326T120000 DTSTAMP:20260513T175823 CREATED:20260204T134546Z LAST-MODIFIED:20260303T130653Z UID:9963-1774519200-1774526400@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-248/ CATEGORIES:General Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260330T090000 DTEND;TZID=America/New_York:20260330T140000 DTSTAMP:20260513T175823 CREATED:20260319T181855Z LAST-MODIFIED:20260319T181855Z UID:10285-1774861200-1774879200@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-313/ CATEGORIES:Private Appointment END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/New_York:20260330T120000 DTEND;TZID=America/New_York:20260330T140000 DTSTAMP:20260513T175823 CREATED:20260204T134621Z LAST-MODIFIED:20260310T115441Z UID:9964-1774872000-1774879200@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-249/ CATEGORIES:General Appointment END:VEVENT END:VCALENDAR