Car Seat Safety Seminar and Diaper Giveaway
Event Details:
October 8, 2022 | 10am
Southside Baptist Church
Pre-Registration Required; MUST be a relative caregiver.

ATTENTION: Please bring your vehicle's owner's manual to the event!
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Name of Relative Caregiver: *
Relation to Child: *
Address: *
Phone Number: *
Email Address: *
Child #1 Name: *
Child #1 Age: *
Child #1 Weight: *
Child #1 Height: *
Child #2 Name:
Child #2 Age:
Child #2 Weight:
Child #2 Height:
Child #3 Name:
Child #3 Age:
Child #3 Weight:
Child #3 Height:
Year, Make, and Model of Vehicle: *
Ex: 2002 Honda Accord
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