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* 1. Tell us about your child with challenges/special needs: Please check all that apply (if you have more than one child with special needs please fill out one survey per child)

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* 2. How old is your child?

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* 3. Is your child with challenges/special needs involved in any extracurricular activities currently?  If so,  please check all that apply.

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* 4. If your child has experienced difficulty in participating in sports/extracurriculars, is it due primarily to (check all that apply)

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* 5. If your child participates in any of the above, please describe your experience with coaches/instructors in addressing your childs' needs

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* 6. Did you notify the coach/instructor about your child and their needs prior to the start of class?  Please elaborate.  If not, why?

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* 7. What programs and events would you like to see within the Rye community for children with special needs?

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* 8. If more programming were offered for families with children with challenges/special needs, how likely would you be to participate?

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* 9. Please use this space to tell us about specific POSITIVE experiences you have had with sports and extracurricular activities for your child in Rye and the surrounding area.

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* 10. Please let us know if you have any other comments, thoughts or suggestions.

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