This Punisher Skateboards Elephantasm Adjustable Kids Skate Helmet includes two sets of removable pads. It comes in a medium size but the extra set of pads can be used to make it slightly smaller if needed. This all-sports helmet features an ABS shell with a gloss exterior and four-color PVC printing. It also comes with an 11-vent design to keep your child s head cool an EPS shell liner and an adjustable chin strap to ensure a comfortable fit.