Please complete the information below to make your reservation. We will respond within 24 hours to review the information and specifics. If you require immediate assistance, or have any questions about the form below, please call us directly at 443-299-8241 or 866-600-8187.

How did you hear about us?:

Please select one.HotelExisting CustomerNewspaper AdvertisementMagazine AdvertisementInternet SearchInternet AdvertisementDelivery VehiclePicked up BrochureLink on Another Site (please specify)Referred From Another Agency (please specify) 
Additional Details:

Last Name:

First Name:

Email Address:

Daytime Phone Number:

Street Address:

City:

State:

Zip:

Child #1:

Age: < 3 Months3-6 Months6-9 Months9-12 Months12345678910  Gender: FemaleMale

Child #2:

Age: < 3 Months3-6 Months6-9 Months9-12 Months12345678910  Gender: FemaleMale

Child #3:

Age: < 3 Months3-6 Months6-9 Months9-12 Months12345678910  Gender: FemaleMale

On what date will you need your equipment and supplies?

 
Deliveries will occur by 9am on this date, unless other arrangements are made.

On what date will the equipment and supplies be returned/picked up?

Pick ups occur after 5pm on this date, unless other arrangements are made.

Specific location/Address where the equipment will be used:

Contact Name and phone number at this location:

Category

Item

Daily/Weekly

Strollers 

Stroller - Full Size - used with infant Travel System

$9/$50

Stroller - Lightweight/Streamlined

$7/$40

Stroller - Umbrella

$2/$12

Dual Stroller (Tandem)

$11/$66

Jogger Stroller

$10/$60

Car Seats

Car Seat - Infant, rear facing, with detachable base     

$9/$54

Car Seat - Convertible (appropriate for rear- or front-facing)

$10/$60

Car Seat - Low Back Booster

$3/$18

Car Seat - High Back Booster

$10/$60

If you have selected any of the Car Seats above, please specify the weight and age of each child:

Cribs 

Crib - Portable 

$12/$65

Crib - Full size
**Don't forget to order the linens and mobile if you would like us to provide this as well.

$16/$90

Bassinet

$13/$70

Linen Package - for crib (mattress pad and fitted sheet)

$2/$12

Crib Mobile

$3/$18

Bed Rails

Bed Rails (2)  Bed Rails Quantity: 

$5/$28

Pack n Play

Pack n' Play/Playpen

$10/$60

Pack n' Play/Playpen Bassinet Attachment

$1/$5

Pack n' Play/Playpen Changing Table Attachment

$1/$5

High Chairs

High Chair (Don't forget a spill mat, feeding accessories, below)

$7/$42

Booster Seat (for attachment to a regular chair)

$3/$17

Seating

Infant Bouncy Seat (some bounce AND vibrate, please specify in the "Other" field below if this is what you prefer)

$5/$25

Infant Vibrating Seat (some bounce AND vibrate, please specify in the "Other" field below if this is what you prefer)

$5/$25

Infant Variable Direction Glider

$6/$36

Bumbo Seat

$4/$24

Infant Saucer

$8/$48

Infant Swing - Full Size

$7/$45

Infant Swing - Travel Size

$5/$25

 Carriers

Infant Sling Carrier (no longer provided - safety issues)

$2/$12

Infant/Toddler Back Pack Carrier

$7/$42

Infant/Toddler Front Pack Carrier

$4/$24

Bathroom Needs

Toddler Potty

$3/$20

Baby Tub

$2/$12

If there is something you require, but don't see here, please specify here and we will do our very best to accommodate your requirements.

Feeding Accessories

Bottle Warmer Electric

$2/$12

Bottle Warmer for use in Automobile

$2/$12

Nursing Pillow

$2/$12

Bottle Sterilizer (for use in microwave)

$4/$25

High Chair Spill Mat

$1/$5

Play Accessories

CDs - Baby Einstein, and other various sets & titles available.

$3/$15

DVDs - Various titles and sets available

$3/$15

Bucket of Infant Toys (under age 1)

$8/$45

Bucket of Toddler Toys (Age 1+)

$10/$50

Infant Play Mat - Fabric

$3/$18

Infant Activity Gym - Electronic

$4/$24

Formula, Baby Food, Nursery Water, Juices, Snacks, as well as sippy cups, silverware, plates, and bowls,etc. 

Feeding Supplies

For Feeding Supplies, please specify Quantity, Brands, Preferred Flavors, and Size:

Cost + 20%

Diapers, Wipes, Diaper Cream 

Diapering Supplies

For Diapers, please specify Quantity, Brands, and Size:

Cost + 20%

Packages

Hotel Room Baby
Activity Gym w/Play Mat, Bucket of Toys (or substitute Exersaucer for Gym & Toys), Baby Tub, High Chair, High Chair Spill Mat, Crib Linens

$18/$100

Deposit & Payment Terms: A 25% deposit will be required to confirm your reservation. Remaining balance to be paid prior to date of delivery.

Please note: If you receive an error citing a "revoked security certificate" upon submission of this form, please understand that this is a known Internet Explorer 7 issue. Our certificate is valid and our site is secure (click on the padlock in your browser bar above and you can confirm this). The resolution offered by Microsoft requires you to download and install our valid certificate, but it is much easier just to call us at 443-299-8241 or 866-600-8187.