Form 11-2

[Insert your agency], the Safe KidsGreater Cleveland Coalition and the Rainbow Babies & Children's HospitalInjury Prevention Center are offering bike helmets for sale at a reduced cost. All helmets are made by Bell Sports, Inc. and are tested to exceed the stringent bicycle helmet standards of the US Consumer Product Safety Commission.

In order to offer you this incredibly low price on Bell Sports helmets, you will not be able to choose graphics or colors. Helmets will be ordered by size and by general color/graphic based on gender. The exact helmet graphics and colors will vary, based on the inventory that Bell Sports has in stock.

To be effective, helmets must fit correctly. Never buy a helmet that a child must "grow into." Each size helmet fits a range of head sizes. Use a tape measure to measure your child's head one inch above the eyebrows and record the measurement below. The helmets come with foam pads (in thick and thin sizes) to "fine tune" the helmet fit.

Child’s Name: ______Child’s Age: ______

Head Size (inches): ______Gender: ______Daytime phone: ______

 Toddler 19-20½”  Child 21-22”  Youth 21⅝-22⅞”  Adult S/M 21⅝ - 22⅞”  Adult M/L 23-24”

Orders must be accompanied by payment. Make checks payable to: ______

Return order form and payment by: ______

Please return form and payment to ______.

[Insert your agency], the Safe KidsGreater Cleveland Coalition and theRainbow Babies & Children's HospitalInjury Prevention Center are offering bike helmets for sale at a reduced cost. All helmets are made by Bell Sports, Inc. and are tested to exceed stringent bicycle helmet standards of the US Consumer Product Safety Commission.

In order to offer you this incredibly low price on Bell Sports helmets, you will not be able to choose graphics or colors. Helmets will be ordered by size and by general color/graphic based on gender. The exact helmet graphics and colors will vary, based on the inventory that Bell Sports has in stock.

To be effective, helmets must fit correctly. Never buy a helmet that a child must "grow into." Each size helmet fits a range of head sizes. Use a tape measure to measure your child's head one inch above the eyebrows and record the measurement below. The helmets come with foam pads (in thick and thin sizes) to "fine tune" the helmet fit.

Child’s Name: ______Child’s Age: ______

Head Size (inches): ______Gender: ______Daytime phone: ______

 Toddler 19-20½”  Child 21-22”  Youth 21⅝-22⅞”  Adult S/M 21⅝ - 22⅞”  Adult M/L 23-24”

Orders must be accompanied by payment. ______

Return order form and payment by: ______

Please return form and payment to ______.