Fairfax City Helmet Exchange Reservation Form

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Only available while supplies last!

Name *

Email *

Where would you like to exchange your helmet?

Bike to Work Day Pitstop (May 15 from 6am to 9am at Old Town Square - 10414 North Street)

Kids Safety Day (May 17 from 10am to 3pm at City Hall - 10455 Armstrong Street)

City Hall (Any time M-F between 10am and 4pm at City Hall - 10455 Armstrong Street)

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Do you need to exchange your old or broken helmet (adults or toddlers), or pick up a new helmet (toddlers only)?

Exchange Adult Helmet

Exchange Toddler Helmet

Pick Up a New Toddler Helmet

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What size helmet do you need? *

No longer available: Adult Medium (52-59cm)

Toddler (48-52cm)

Adult Large (58-62cm)

Adult XL (59-62cm)

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