Used Car Seat Donation Form

Used Car Seat Donation Form

Fill out this form and you will be emailed a printable copy. Once it is received please securely affix this filled out form to your donated car seat. Those car seats that are donated without this form attached will not be made available to families in need and will then need to be recycled.

    *First Name

    *Last Name

    *Your Email

    *Has this car seat ever been in an accident?
    YesNoUnsure

    Please be sure to check your spam folder if you are not seeing the confirmation email after pressing the submit button.

     

    Nick ZieglerUsed Car Seat Donation Form