Baby Getaway Online Reservation Form

BABY GETAWAY RESERVATION FORM
Orders beginning next day should be made by phone to confirm availability.
Rental Start date *

MonthDayYear
Date
Rental Start Time

:HourMinutesAM/PM Option
Rental End Date *

MonthDayYear
Date
Rental End Time (not flight time)

:HourMinutesAM/PM Option
Full Name*
Billing Address*
City*
Province/State*
Postal/Zip Code*
Country*
Phone Number*
Phone Number*

Country CodeArea CodePhone Number
Alternate Number
Alternate Number

Country CodeArea CodePhone Number
Email*
example@example.com
Destination*
Check if delivery address is same as Contact above
Name of Hotel / Other
Name Used on Reservation
Please provide airline and flight #
If Car Rental then add company name
Delivery Address
City
Postal/Zip
Delivery Location Phone
Nearest intersection (if known)
Children Using the Equipment

BoyGirlBoth
Weight (specify kg/lbs)
Age (specify months or yrs)
How did you hear about us?
EQUIPMENT CATEGORIES
Sleep Time

Full Size Standard CribFull Size Folding CribConvertible CribCompact CribToddler BedInflatable Toddler Bed
Sleep Time Accessories

Add Regular BumpersAdd Breathable BumpersAdd Compact Crib BumpersSingle Bed RailDouble Bed RailAudio MonitorSingle Video Monitor (1 camera)Double Video Monitor (2 camera)
Playard/Pack n Play

Basic Pack n PlayDeluxe Pack n PlayBaby Bjorn Travel CribAdd extra 2" mattress ($10 flat - 1st week) - for playard rental only
Car Seats

Infant Seat (Graco)Infant Seat (Peg Perego)Infant Seat (Britax)Infant seat (Maxi-Cosi Mico Max 30)Toddler Combination (Regular)Convertible (Regular)Deluxe Toddler Combination (Nautilus or Secure Kid)
Premium Seats

Premium Convertible (Britax)Premium Convertible (Britax ClickTight)Premium Convertible (Diono)Premium Combination (Britax Frontier)
Boosters / Accessories

Booster with backBackless BoosterTravelmate
Strollers (Full Size)

Urban TerrainBritax AffinityBaby Jogger City Select
Double Strollers

Double stroller with jogging optionBaby Jogger City Select with Second SeatDouble Umbrella
Umbrella Stroller

Peg Perego Pliko (Full size)Maclaren VoloMaclaren TriumphUmbrella (Full Recline)
Travel Systems

Peg Perego Travel SystemBritax Travel System
Feeding Time

Standard High Chair (Peg Perego)Restaurant Style High ChairBooster (diner) with trayCafe BoosterNursing PillowAdd Toss Away Bibs
Play Time

Full size SwingmamaRoo * (New)Travel SwingBouncy SeatPlay GymJumperooExersaucerToy PackageWalker/Ride ToyTable + 2 chairsFoam mats (8)Foam mats (16)
Bath Time

Bath tubBath ToysPotty ChairToilet Seat RingDiaper PailStep Stool
Accessories

Baby GateCARES rentalBijoux Infant VestChild/Youth VestChange TableAvent Electronic Steam SterilizerHumidifier (warm mist)Humidifier (cool mist)Travelmate
Packages

Basic PackageEssential PackageDeluxe Package
Promo Code
Special Instructions
multiple quantities required etc,
Should be Empty: