Community Programs Car Seats Car Seat Class: Lakewood Ranch

Lakewood Ranch Car Seat Registration

To register for a Car Seat Safety Check at All Children's Outpatient Care, Lakewood Ranch, please complete the form below.

8340 Lakewood Ranch Blvd., Suite 160
Bradenton, FL 34202
(Find us under Women's Center carport)


Appointment Date * 
07/11/13 Check (have your own car seat): 09:00am 
07/11/13 Check (have your own car seat): 09:30am 
07/11/13 Check (have your own car seat): 10:00am 
07/11/13 Check (have your own car seat): 10:30am 
07/11/13 Check (have your own car seat): 11:00am 
07/11/13 Check (have your own car seat): 11:30am 
Caregiver First Name * 
Caregiver Last Name * 
City 
County 
Phone *  () - Ext.
Email Address 

Child 1: Age * 
Child 1: Weight * 
Child 1: Height * 
Child 1: Does this
child have any
special needs? * 
Child 1: Does this
child have a
car seat/booster seat? * 
Yes  No 


Child 2: Age 
Child 2: Weight 
Child 2: Height 
Child 2: Does this
child have any
special needs? 
Child 2: Does this
child have a
car seat/booster seat? 
Yes  No 


Child 3: Age 
Child 3: Weight 
Child 3: Height 
Child 3: Does this
child have any
special needs? 
Child 3: Does this
child have a
car seat/booster seat? 
Yes  No 


Comments for Instructor 
* Required
Creating healthy tomorrows... for one child, for All Children.
501 6th Avenue South, St. Petersburg, FL 33701
Phone: 727-898-7451 Toll-Free: 800-456-4543 info@allkids.org
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