Acura 2002 MDX Owner's Manual page 47

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Lift the head restraint, then route
the tether strap over the seat-back
between the legs of the head
restraint.
Attach the tether strap hook to the
tether attachment point and tighten
the strap according to the child seat
maker's instructions. Make sure the
strap is not twisted.
Protecting Children
Driver and Passenger Safety
43