the child accident prevention foundation of australia

Hire Enquiries

For enquiries or further information, please complete the form below and someone will be in touch with
you shortly. So that we can respond to your query promptly, please ensure that all fields marked with an
* asterisk are complete.

If you require equipment within the next week, please contact the office directly on
(08) 9340 8509. (Kidsafe WA recommends that you book hire restraints at least
2 months in advance).

First Name	*
Last Name	*
Address
City	*
State	*
Postcode	*
Email Address	*
Phone	*
Mobile
Drivers License Number
Vehicle Details
Make/Model
Year of Manufacture
Registration Number
Child Size	Child not yet born
	Child 1 Weight
	Child 1 Age
	Child 2 Weight
	Child 2 Age
	If more than 2 children add details in comment box below.
Length of Hire Required
Hire Start Date	*
Hire End Date
Address of Stay
Hire Item Required	Baby Safety Capsule (up to 9kg) Toddler Restraint (8 to 18kg) Convertible Child Restraint (Birth to 18kg) Combination Restraint (8 to 26kg) Booster Seat with Child Safety Harness (14 to 26kg) Booster Seat to use with seatbelt only (14 to 26kg)
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