Write a Rap Song, Poem or Essay; no more than 175 words:
Begin your work with either “Helmet safety means..” or “Wheel sport safety means..”
(You may illustrate your work with a drawing or picture.)
2006 WHEEL SPORT SAFETY AWARENESS CONTEST (Grade 4)
ENTRY FORM AND IDENTIFICATION LABEL
Child Information (PLEASE PRINT CLEARLY) / School InformationName ______/ School Name ______
Home Address ______/ School Address ______
City Zip ______/ City Zip ______
Home Telephone ( ) / School Telephone ( )
Teacher’s Name
Authorization of parent or legal guardian: Parent or Guardian’s signature is required for all entries. (Note: entry must be the work of the child.) Parent’s Signature ______
NY State law requires all children under age 14 to wear a helmet when riding a bicycle, scooter, skateboard and in-line skates.