Safety Seat Check Up | Register Your Event With Child Passenger Safety
Blank Children's Hospital

Safety Seat Check Up Event Registration

In order to list your event on the Iowa Child Passenger Safety web site, please complete and return this form a minimum of two weeks prior to your event.

NameCountyAddressCityPhoneEmailStateAgency/OrganizationZip CodeLocationEvent DateStart TimeLocation AddressEnd TimeAppointment Necessary?
If yes, contact informationIs this event being held in conjunction with any other event?
If yes, what event?Will a CPS Instructor be present at this event?
Partners/Sponsors for the event