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Seat Check Event Date

Time / From - To

Event Location and Address

Contact Name

Email

Phone

Organization

Your Organization and the name of your event, i.e. School Safety Day, Touch a Truck, Public Safety Open House, etc.:

Organization

Event Theme or Name

Event

Please note, each seat takes about ½ hour to check.

How many child safety seats do you anticipate being checked by Child Passenger Safety Technicians?

Has the Event been held before?

If Yes, to the previous question. How many seats were checked?

At Event

On-Site, Day of the Event - Please let us know the Contact Person, if different from above.

On-Site Contact:

On-Site Contact Phone:

On-Site Contact Email:

Logistics

Is there a safe location for us to park our BeSeatSmart SUV?

Is there ample space for us to set up the seat check event?

When is the earliest we can set-up?

Is there a restroom available to staff and the public?

Do You have any other information?