Want to host a clinic? An information seminar? A training course? Fill out the form below for more information or to apply. Location Name Location Address (must be within the Ottawa valley) E-mail * Contact info * Please provide Name, Phone Number and preferred method of contact Event you would like to runPick one Education Seminar for Parents Staff Public Car Seat Inspection Clinic Clinic Training Course Training Our location has: Please choose all that applies Accessible Bathrooms Indoor covered location for cars to drive into (how many spots at a time? please add details at the end) Outdoor parking lot for cars to drive into for a clinic (how many spots) A board room for seminars/trainings (how many people can it hold?) A safe location for children during an inspection clinic? Garbage bins Parking for our volunteers (how many spots) Additional Comments What days/times are you available to host the event(s) you have chosen? Select all applicable Day of the week Sunday Monday Tuesday Wednesday Thursday Friday Saturday Time Morning events (8am to 1pm) Afternoon Events (12pm to 4:30pm) Evening Events (5pm to 9:30pm) Months Summer Months Fall or Spring Months Winter Months Additional Comments Would you be wanting/willing or interested in providing provide Refreshments to the volunteers/clients Education about your location and services Coupons or swag from your location Door prizes We would be interested in more information about Education seminar for parents, staff or public Car Seat inspection clinics Training courses Sponsorship of SEATS for Kids
