Types of helmets available: Helmet Type Activities Safety Standard. Bicycle Cycling only CPSC approved

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1 Canada November 2014 ove Your Brain... Put a id On It Dear Parent / Guardian, The Canada (CHI), Public Health and the school boards in your community are committed to the health and physical wellness of you and your children as you participate in activities that require helmets. Your school is supporting CHI and providing helmet safety to all family members. Through this campaign a certified helmet can be purchased at a fraction of the retail cost. For every helmet sold CHI will donate 1 to fund a helmet strategy in your community. A well-fitted helmet helps to protect the brain from injuries that can happen with a crash or fall. Keeping the brain safe is important because it controls how the body works. Prevention is the only cure for a brain injury. Go to to learn more about helmet safety or visit for additional information. Quick facts: 88% of brain injuries can be prevented by wearing a well-fitted helmet Children and adults need the same head protection The law in most provinces says that all cyclists under 18 years of age have to wear a helmet Parents are role models. Always wear your helmet Your brain is what makes you unique keep it safe! Remember, the type of helmet changes with different activities Types of helmets available: Type Activities afety tandard Bicycle Cycling only CPC approved ulti-port ki/nowboard ulti-impact Hockey ulti-impact Tricycles, Cycling, kateboarding, cooters, Inline kating kiing, nowboarding, Tobogganing/ledding Hockey, Ringette, kating, Tobogganing/ledding AT and CPC approved AT F , CPC & CPIA approved CA, AT, HECC approved To order helmets: Use the instructions and measuring tape to size each person. (see diagram on order page) Choose a helmet for each family member Fill out the order form Payments accepted: Cash, Cheque, oney Order or Credit Card ake cheques or money orders payable to CHI Credit Card payments; please fill in your credit card details on the order form Attach payment to order form or place in envelope and seal Return completed order form and payment to school by: Friday, November 14, 2014 The includes all taxes, shipping, handling and processing. s will be delivered to your school in arch For more information, contact CHI: schools@canadahi.ca (Hamilton Area) or toll free The Canada and your school board are committed to the safety of you and your children. For a chance to win a new bike, check out our poster contest at: Choose the Events tab. incerely, Canada (CHI)

2 Canada CHI is a not for profit organization, dedicated to reducing head injuries and promoting physical fitness. Winter port s A properly fitted helmet can greatly reduce the risk of head injury. A ski or snowboard helmet should: Fit snug but comfortably. Pads should touch the cheeks and forehead. it 2 fingers above the eyebrows. Allow no more than 1 finger width under the chin strap. Not touch the nape of the neck. To fit a hockey helmet: Open the helmet to its largest setting. Place the helmet on the head. Downsize the helmet until it fits comfortably snug. Follow helmet manufacturer guidelines for proper fitting of face protectors. The helmet should: ake contact with the top of the head and sit 1 finger width above the eyebrow. Allow no more than 1 finger width under the chin strap. Fit your helmet every time you put it on! ore tips:

3 Choose a 15 Ref: Ref: 2 35 Canada Ref: 3 Keep this page for your records Ref: Ref: Ref: Ref: 7 Child size Ref: Ref: Ref: Bicycle s CPC approved for cycling use. Optimal Cooling Vents. Additional izing Pads. Perfect Fit ize Adjustable Dial ystem. Top made of PVC shell. Bottom high quality resilient white EP liner covered with a top and bottom PVC shell. Toddler ulti-port s Dual certified - AT & CPC approved for multi-sport use. Usages: Cycling, kateboards, cooters, Inline kating, Tricycles. Toddler has 15 Cooling Vents. Additional izing Pads. Perfect Fit ize Adjustable Dial ystem. Toddler has In ould PC shell. Bottom high quality resilient black EP liner. CPC approved AT approved For more information Tel: Toll Free schools@canadahi.ca APPROVED Turn over for ORE s

4 Choose a 20 Ref: Ref: Canada Ref: 13 Keep this page for your records Ref: Ref: Ref: Ref: Ref: Ref: Ref: 20 / / Ref: 21 / / Ref: 22 / / 149 Ref: 23 / / ulti-port s CPC APPROVED Approvals AT ki now board APPROVED AT F AT Hockey s CA AT For more information Tel: Toll Free schools@canadahi.ca Turn over for ORE s

5 Canada Order Form For information: PEAE FI OUT A INFORATION BEOW TO COPETE THI ORDER FOR PEAE PRINT chool / Centre Name: tudent First Name: tudent ast Name: Parent / Guardian Full Name: Daytime Phone Number: (optional): Grade: Home Room Teacher: Credit Card Payments: Card Number: Card holder name as it appears on the card: Class / Home Room Number: chool taff ember Order: check here YE: Class / Grade Number: chool Type: (check one) Public: Catholic: Private: Other: Payment ethod: (check one) Cheque / oney Order: Cash: Visa: aster card: Expiry: / card holder signature 3 digit cvv code on back of card: Amount to be charged: Card holder authorizes the amount to be charged to be charged to their credit card. Ref # Colours Dimensions ize Unit Enter Qty ub-total cm small 15 Yellow cm medium 15 Graphic cm large cm small 15 2 Butterfly cm medium cm large cm small 15 Graphic cm medium 15 Red cm large cm small 15 Graphic cm medium 15 Blue cm large cm small 15 5 Flames cm medium cm large cm small 15 6 ava cm medium cm large 15 7 Crazy Creatures cm child size 15 8 Toddler cm small 25 Dinos cm large 25 9 Toddler cm small 25 Blue Notes cm large Toddler cm small 25 Pink Notes cm large 25 Please make all cheques / money orders payable to: CHI ecurely attach payment to this order form and have your child return this form to their school or centre no later than the date noted Items may not be exactly as shown All sales are final excluding defects A 15 % restocking fee applies to any refunds NF returned cheque fee is 15 No postdated cheques accepted All prices include: taxes, processing, shipping & handling Total s Total Amount Return to school by November 14, 2014

6 Canada Order Form For information: easure your head - A helmet is the best way to protect your head in a fall or crash but to be effective it must be correctly sized & worn. tep 1. easure The Head: Place the measuring tape provided around the head, just above the eyebrows and ears. tep 2. Choose A : elect helmet model, colour, and size. tep 3. elect The Quantity. Determine the number of helmets you want per model, colour & size. tep 4. Do The ath: Calculate the total number of helmets you ordered and the total dollar value of your order. Ref # Colours Dimensions ize Unit Enter Qty ub-total cm small Black cm medium cm large cm small Blue cm medium cm large cm small Pink cm medium cm large cm small 30 elon cm medium 30 Graphic cm large cm small 30 Blue cm medium 30 Bluster cm large cm small Wild cm medium cm large cm small 45 Black cm medium 45 ki/now cm large cm small 45 Blue cm medium 45 ki/now cm large Canadian cm small 60 Graphic cm medium 60 ki/now cm large Blue cm small / medium 45 Hockey cm medium / large White cm small / medium 45 Hockey cm medium / large Blue with cm small / medium 55 Hockey Face Cage cm medium / large White with cm small / medium 55 Hockey Face Cage cm medium / large 55 Please make all cheques / money orders payable to: CHI ecurely attach payment to this order form and have your child return this form to their school or centre no later than the date noted Items may not be exactly Total s Total Amount as shown All sales are final excluding defects A 15 % restocking fee applies to any refunds NF returned cheque fee is 15 No postdated cheques accepted All prices include: taxes, processing, shipping & handling November 14, 2014 For office use only Return to school by

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