Welcome Baby Car Seat Safety Program-English/Spanish
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  • 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).

  • Parent Information

  • Format: (000) 000-0000.
  • Can we text you?*
  •  - -
  • Race*
  • Grade Completed by Parent*
  • Family Status*
  • Have you received a car seat from Welcome Baby in the past?*
  • Have you ever been to Welcome Baby before (Parenting Class or Giving Closet, etc)?*

  • Child Information

    Welcome Baby is only able to provide **one** car seat per family every 5 years.
  •  / /
  • Pregnant with twins?

  • Note: We can only provide one car seat per family every 5 years. Unless you have twins. Then each child can recieve a car seat.

  • Check all that apply to you or your child (must provide verification during class).*

  • Vehicle Information

  • Do you own a vehicle?*
  • Should be Empty: