Register Your Fit Station on the Iowa Child Passenger Safety Network
Blank Children's Hospital

Fit Station Registration

We'd like to help advertise your Fit Station by listing it on our Iowa Child Passenger Safety Network website. Please take a few moments to complete this electronic form. By completing and submitting this form, your information will automatically be sent to the NHTSA website for posting there as well.

Fit Station LocationAddressCityStateZip CodeCountyCounties servedContact PersonPhoneFax numberEmailDays of OperationHours of OperationIf no, months of operationYear Round?
Appointment Needed?If yes, how are appointments scheduled?
Does your Fit Station have multi-lingual, hearing impaired and special need assistance available?If so, please list services provided.I certify that all child safety seat checks completed at the child safety seat inspection station listed above will be conducted by a current Safe Kids-certified child passenger safety Technician or Instructor?
By signing below, I acknowledge that my electronic signature holds the same validity as its handwritten and hard copy counterparts.*Learn about E-Signature law above.Electronic Signature Agency/Organization CPS Technician/Instructor Number