Car Seat Safety Donation Form 2026

Each year, available funds are spent to give car seats and safety training to families that could not otherwise afford a car seat. Principals and counselors determine families in need and communicate these needs to the Council Chair for Health and Safety.

Item Description		Price
First Name Last Name If a Business member, Business Name Address Line 1 Address Line 2 City State Zip Code Cell Phone Home Phone Email
	Car Seat Safety Fund more Each year, available funds are spent to give car seats and safety training to families that could not otherwise afford a car seat. Principals and counselors determine families in need and communicate these needs to the Council Chair for Health & Safety.	$
May we mention your donation as part of a general Thank You? Yes No If you would like to dedicate your membership purchase and / or donation to someone special, please list their name and a message below. Made in Memory of: Made in Honor of: Please send donation / dedication acknowledgment to: List name and address for acknowledgement note.