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2. Request an Appointment

   Appointments are for Ramsey Residents and are scheduled a minimum of two (2) weeks out. Availability of appointment times are dependent upon police department scheduling needs. Your appointment is not scheduled until confirmed by a member of our department. 

4. First Name*

   Parent/Caregiver

5. Middle Name*

   Parent/Caregiver

   
   

6. Last Name*

   Parent/Caregiver

7. Date of Birth*

   Parent/Caregiver

9. Address*
11. City
12. State
13. Zip Code
15. Phone Number*
16. Email Address*
18. Are you a Ramsey Resident?*
    -- Select One --YesNo

    Appointment are only available to those who live in the City of Ramsey (which is located in Anoka County). 

20. How many vehicles will be at the appointment?*
    -- Select One --12
22. Number of seats to install*
    -- Select One --1234
23. What are the age(s) of your child(ren)?*
25. Make and model of car seats*
27. Preferred Date and Time

    Appointments are only available Monday-Friday and last 30-45 minutes. Please select possible dates and times that work for you. Please note, appointment availability is based upon the police departments scheduling needs.

29. Monday

    1. 9:30 am
    2. 10:30 am
    3. 11:00 am
    4. 1:30 pm
    5. 2:00 pm
    6. 2:30 pm
    7. 3:00 pm
    8. 3:30 pm
    9. 4:00 pm
30. Tuesday

    1. 9:30 am
    2. 10:30 am
    3. 11:00 am
    4. 1:30 pm
    5. 2:00 pm
    6. 2:30 pm
    7. 3:00 pm
    8. 3:30 pm
    9. 4:00 pm
31. Wednesday

    1. 9:30 am
    2. 10:30 am
    3. 11:00 am
    4. 1:30 pm
    5. 2:00 pm
    6. 2:30 pm
    7. 3:00 pm
    8. 3:30 pm
    9. 4:00 pm
33. Thursday

    1. 1:30 pm
    2. 2:00 pm
    3. 2:30 pm
    4. 3:00 pm
    5. 3:30 pm
    6. 4:00 pm
34. Friday

    1. 9:30 am
    2. 10:30 am
    3. 11:00 am
    4. 1:30 pm
    5. 2:00 pm
    6. 2:30 pm
    7. 3:00 pm
35. Additional Information

    Please share anything else that would be helpful to know about this appointment.

37. Come Prepared*
    -- Select One --Yes, I will come prepared

    Please help your appointment go smoothly by following these directions: 1. Clean out your vehicle and be sure that we are able to access the area in your vehicle where the seats are/will be installed. 2. Bring your car seat, manual for your seat(s), and a vehicle manual (if you have them). 3. If possible, bring the children who will be rinding in the seat(s). 4. Your appointment is not set until you have received until you have spoken with a member of our office. 5. Please take time to watch this video before your appointment Simple Steps to Child Passenger Safety 2014 - YouTube  

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

    This field is not part of the form submission.

41. Submit

* indicates a required field