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Take Ian's Pledge and have Your Child's Name Entered into a Drawing for a Free Helmet
Have you already taken Ian's Pledge?
Yes
No
If yes, where did you take the pledge?
Location/Event Name where pledge was taken:
Select
Alta Vista Skate Shop
Other
If other, please specify:
Did you receive a helmet?
Yes
No
If yes, What type of Helmet did you receive?
Select
Purple Bicycle
Black Bicycle
Black Skateboard
If no, check the box below to enter for a free helmet drawing
Do you own a helmet?
*
Yes
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Child's Name
*
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Last
Name
*
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Last
Email
*
Enter Drawing
Check this box to enter the drawing for a free helmet.
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*
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Child's Helmet Preference
*
Black Bicycle Helmet
Purple Bicycle Helmet
Black Skateboard Helmet
No Preference
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