All Children's Hospital Logo

Sarasota Car Seat Registration


Two options are available in Sarasota.

All classes and car seat checks are held at the following location:

Outpatient Care Center, Sarasota
5881 Rand Blvd.
Sarasota, FL 34238

To register for a Class or a Car Seat Check, please complete the form below and choose the appropriate option.

Appointment Date * 
6/18/2013, Clases de Silla de Carros en Espanol:1:00PM 
6/18/2013, Class: 12:00PM 
6/18/2013, Check (have your own car seat): 12:00PM 
6/18/2013, Check (have your own car seat): 12:30PM 
6/18/2013, Check (have your own car seat): 2:00PM 
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

Additional Info

Pocket Doc Mobile App
Maps and Locations (Mobile)
Programs & Services
Health Information
Employment
For Health Professionals
For Patients & Families
Contact Us
Find a Doctor
News
CME

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

Use Normal Template
© 2013 All Children's Hospital - All Rights Reserved