2. Park Forest Fire Department Car Seat Installation Form

4. 

6. If you would like assistance from a Park Forest Fire Department car seat technician, please complete the form below. The Park Forest Fire Department is at 156 Indiandwood Boulevard, Park Forest, IL 60466. 

   When you arrive, please go to the furthest west bay, where the fire vehicles are parked. A technician will be there to direct you into the garage. 

8. Name:*
9. Address:*
11. Phone Number:*
13. Vehicle Make:*
14. Vehicle Year:*
15. Vehicle Model:*

17. Please bring the vehicle instruction manual. 

19. Will the child be present:*

    1. Yes
    2. No
20. Child Name:*
21. Child Height:*
22. Child Weight:*
24. Does the child have any medical concerns (please specify): *
26. Relationship to child:*
28. Safety Seat Information (Make, Name, Model #, Manufacture date, please bring owner manual):
30. Seat type (Infant, Convertible, Forward Facing Only, High Back Booster, etc)

32. Sept., 8 a.m. to 12 p.m.

    Tuesday, Sept. 2

    Wednesday, Sept. 10

    Thursday, Sept. 18  Oct., 8 a.m. to 12 p.m.  Tuesday, Oct. 7  Wednesday, Oct. 15 Tuesday, Oct. 23 Nov., 8 a.m. to 12 p.m.  Tuesday, Nov. 4 Wednesday, Nov. 12  Dec., 8 a.m. to 12 p.m.  Tuesday, Dec. 9  Wednesday, Dec. 17

34. Choose a date from the options above and select a time between 8 a.m. and 12 p.m.*
    Choose a date from the options above and select a time between 8 a.m. and 12 p.m.

    Choose a date from the options above and select a time between 8 a.m. and 12 p.m.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field