User Registration

You selected: June 29, 2022 10AM - 2PM *COVID TESTS*

Registrant Information

Registrant Information

Do you need an interpreter?*
*7 day notice required for interpreter
Please specify
Are you pregnant or expecting?*
(If "Yes", don't forget to include this child below)

List All Children That Need Car Seats

Has this child been born yet?*
*if child is 12-23 months, please select "1 year old"

Household Information

for text reminders
*email provided will be used for Car Seat Program communications only



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