2024 Child Passenger Safety Week/Seat Check Saturday Car Seat Check Event Registration Form

Register your Child Passenger Safety Week 2024 and/or your Seat Check Saturday car seat check event scheduled during the week of September 15 – 21, 2024. Car seat checks that are registered will be shared with the Pennsylvania Department of Transportation, provided for media releases, upon request, and posted on PA TIPP website calendar of events. PA TIPP does not need to be involved in the community car seat check event, we are merely compiling the list of events to be shared. If you are interested in receiving a list of events being held in Pennsylvania, please email aosterhuber@paaap.org. Thank you!

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* 1. What is the date & time of this event?

Start Time

Date

Time

AM/PM

End Time

Date

Time

AM/PM

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* 2. Event Location

Event Location *

Address: *

City: *

State:

ZIP/Postal Code: *

County: *

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* 3. Sponsoring Organization and Contact Information

Contact Name:

Organization:

Phone:

Email:

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* 4. Check whether appointments are required or walk-ins accepted.

Walk-Ins

Appointments Required

Appointments and Walk-Ins

Virtual Check By Appointment

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* 5. Make an appointment with the contact name listed above?

Yes

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* 6. If no, who should be contacted for an appointment?

Name:

Phone:

Email:

Thank you for registering your community event. Please share the success of your event by completing the data collection form online at https://surveymonkey.com/r/CPSWeek2024EventData. A link to the survey is available www.pakidstravelsafe.org on the “2024 CPS Week” page.