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

First Name

Last Name

Phone

FAX

Question Title

* 2. Degree (s)

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")

Question Title

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

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!