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* 1. My child is/children are within the below age ranges. (Select all that apply.)

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* 2. My child plays/children play the following sports:

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* 3. Do you believe your children are safe from abuse and misconduct in sport?

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* 4. Are your children's sports clubs willing to implement and follow SafeSport requirements and best practices?

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* 5. Are you confident that your children's sport clubs will follow up on any reports of or concerns related to abuse or misconduct?

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* 6. Are you comfortable with your level of knowledge related to SafeSport issues, such as best practices related to athlete safety or the possibility of sexual abuse at the hands of a coach.

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* 7. Have you been provided training and education around SafeSport issues?

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* 8. Do you know how, when and where to report concerns of abuse or misconduct?

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