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To register for a Car Seat Safety Check at Sunstar EMS South Hub, please complete the form below. If you are registering more than three children, you must sign up for more than one time slot because more time will be needed.

The Sunstar EMS South Hub is located at
2155 14 Circle N
St. Petersburg, FL 33707
727-582-2068 or 727-582-2090
(Maps and Directions)

To ensure every child travels safely, our program offers car seats at a reduced cost for those that meet program criteria. Convertible seats are available for a donation of $20 and boosters for $10 (cash or money orders only). Prices may vary accommodating special circumstances such as high weight limit. Supplies are limited to 1 car seat per child and appointments are required.

Appointment Date * 
05/10/2014 @ 09:30am - 1:30pm 
07/12/2014 @ 09:30am - 1:30pm 
09/13/2014 @ 09:30am - 1:30pm 
11/08/2014 @ 09:30am - 1:30pm 
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

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All Children's Hospital
501 6th Ave South
St. Petersburg, FL 33701
(727) 898-7451
(800) 456-4543

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