Let's Talk: Child Passenger Safety

Registration: "The Who, What, When, Where, Why, and How of Car Seat Tolerance Testing"

Wednesday, February 22, 2017
Time: 12:15 - 1:30 pm (EST)

Webinar link and/or dial in number will be emailed prior to the event.
Questions starred below (*) require answers.

Question Title

1. Name, email, phone (Required.)

First Name

Last Name

Phone

FAX

Question Title

2. Degree (s) (Required.)

CRNP

LPN

Medical Assistant

CPS Technician

Other (please specify)

Question Title

3. Practice, hospital, or organization name:

Name

Mailing Address

City

State

Zip

County

Question Title

4. Expected number of participants from my site. (If only you, then "1") (Required.)

Question Title

5. My practice will join by: Please check one (Required.)

Webinar (one computer connection with sound accessible by phone).

Teleconference only (via phone only). Handouts will be available at www.pakidstravelsafe.org.

Question Title

6. Specific questions you would like to see addressed by the speaker on this webinar/teleconference.

The webinar link and/or dial in phone number will be emailed to you prior to the event.

We look forward to your participation!

Thank you!

Question Title

* 1. Name, email, phone (Required.)

Question Title

* 2. Degree (s) (Required.)

Question Title

* 3. Practice, hospital, or organization name:

Question Title

* 4. Expected number of participants from my site. (If only you, then "1") (Required.)

Question Title

* 5. My practice will join by: Please check one (Required.)

Question Title

* 6. Specific questions you would like to see addressed by the speaker on this webinar/teleconference.

1. Name, email, phone (Required.)

2. Degree (s) (Required.)

3. Practice, hospital, or organization name:

4. Expected number of participants from my site. (If only you, then "1") (Required.)

5. My practice will join by: Please check one (Required.)

6. Specific questions you would like to see addressed by the speaker on this webinar/teleconference.