Interested in donating a car seat to Meadow Rose Society?

Great, Let’s Get Started!

Please click ‘Start’ to fill out the form below

What is your first AND last name?

What is your email?

What is your phone number?

Is the car seat a Stage 1 or a Stage 2?

Stage 1

Stage 2

I'm not sure

What is the BRAND, NAME and MODEL # of the car seat?

ie. Evenflo, Triumph LX, Model # 97129

What is the manufacture date?

You can find this on the label

What is the expiry date? *

*Must be 2 or more years away.

Was this car seat was purchased in CANADA

We cannot accept US or international car seats or car seats that have been involved in an accident or compromised in any way.

Yes

Has this car seat ever been in an accident?

Yes

How would you like us to contact you?

Phone