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Pasco Car Seat Registration


Two options are available in Pasco.

Note: To ensure every child travels safely, our program offers car seats at a reduced cost for those that meet program criteria. If you need assistance with obtaining a car seat, convertible car seats are $20.00 and booster seats are $10.00. Cash or money orders only.

Supplies are limited to 1 car seat per child and appointments are required.

To register for a Class or a Car Seat Check, please complete the form below. Make sure to check the location for car seat checks as it varies each month.

Appointment Date * 
5/24/2013, Class: 9:00AM @ All Children's Outpatient Care, 4443 Rowan Rd, NPR 
6/28/2013, Class: 9:00AM @ All Children's Outpatient Care, 4443 Rowan Rd, NPR 
7/26/2013, Class: 9:00AM @ All Children's Outpatient Care, 4443 Rowan Rd, NPR 
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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