Welcome Baby Car Seat Safety Program-English/Spanish

Welcome Baby Car Seat Safety Program

Interest / Registration Form
For Durham County Residents Only

Class is held at Welcome Baby -721 Foster Street Durham, NC 27701

After submitting this form, please allow up to 5 business days to receive a call or text from our Car Seat Technician.

Please take note of the following:
- To qualify for a car seat, you must complete a 2-hour safety class.
- If expecting, A convertible car seat will be provided no sooner than four weeks before the due date. We do not provide infant carrier car seats.
- Welcome Baby can only give 1 car seat per family every 5 years.
- We can provide resources if another carseat is needed before the 5 years.
- For families on WIC and/or Medicaid, copay for car seat is $20 (cash).

Vehicle Information
Do you own a vehicle?*

YesNo
Year
Make
Model
How did you hear about Welcome Baby?*
If you are a social worker/case manager that is filling this form out on behalf of a client, please write your name and phone number in case we have any questions.
Should be Empty: