PAL Bike Helmet Giveaway

To date, PAL has given away thousands of Bike Helmets & Safety Brochures in over 50 locations throughout the Greater Buffalo Niagara Region!

The Police Athletic League of Buffalo, Inc. is working to get more kids and teens to wear bike helmets and to wear them properly through our helmet give-away events.

In partnership with many organizations, PAL offers free helmet fittings and giveaways for children year-round. We teach parents and kids how to properly fit every helmet we give away, but we don’t stop there. We also provide resources on bike safety. We give out over 2,000 helmets each year through various community event.

For more information please contact us »

A completed form is required for each participant with each activity they participate in. THIS INFORMATION FOR STATISTICAL PURPOSES ONLY.

CLIENT CHARACTERISTICS

The information you provide in this form is for statistical purposes only.

HOUSEHOLD INCOME

Instructions: Please indicate both the number of members living in your household, including yourself and you household income.
Instructions Please note: Hispanic, Latino, and/or Puerto Rican is NOT your RACE. Hispanic, Latino, and/or Puerto Rican is your ETHNICITY. Check which group listed below best pertains to you.

In consideration of my child(ren)’s participation in the programs sponsored by the Police Athletic League of Buffalo (PAL), the undersigned hereby agrees not to sue, and hereby releases the PAL, its Board of Directors, members, agents, employees and volunteers from any and all liability for any damage or injury to me/my child(ren) or to the property, sustained by me/my child(ren) caused or resulting from any cause whatsoever. I also acknowledge that I assume all risk of injury from such participation in activities at any PAL facility or other program site and acknowledge that photographs of my child(ren) participating in this program may be used for promotion of PAL activities. By signing this release, I swear my/their participation in the intended use of the facility or program by me/my child(ren).

I acknowledge that this information as submitted above has been examined by me and is true and correct. For youth programs, this form must be completed by a parent or guardian.

By checking this box, I do herby certify that my electronic identification (signature) is the legally binding equivalent of a traditional handwritten signature.