Complete this form and MAIL or FAX to:
Head First
3965 Park Avenue Fifth Floor
St. Louis, MO 63110
FAX: 314-773-1008

Once we get it we will send you your
"OFFICIAL HEAD FIRST TEAM CARD"!

HEAD FIRST TEAM PROMISE FORM

I Promise to always think about my head first and follow the "Tips From Tango"

I WILL...
1. ALWAYS WEAR MY SEAT BELT
2. KEEP MY SHOES TIED
3. ALWAYS WEAR MY HELMET WHEN I AM ON MY BIKE, SKATE BOARD, ROLLERBLADES, AND ROLLER SKATES

As a member of the Head First Team I will help Doug and Hip-D teach
other kids how important it is to protect your brain!

SIGNED:____________________________________________________

 
Name: Birthday: Grade:

Address:

City:

State: Zip: Phone:

School: Card Number:

Oh yeah, a promise is a promise so make sure that you have a helmet and wear it before you sign form.
Any questions call us at (314) 863-5900