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Sports Protection Reporting

ONLINE INTAKE FORM
Wichita Adaptive Sports strongly encourages the reporting of misconduct. WAS appreciates your willingness to report inappropriate behavior.

Offender Information

This section is about the individual you are reporting. Please provide as much information as possible.

Gender of individual you are reporting:
Position(s) this individual holds or held: Required

Incident Information

This section asks questions about the incident or incidents you are reporting. Please provide as much specific information as you are able.

Victim Information

This section is for information about the victim or victims. If you are the victim and wish to remain anonymous, you may do so. In that case, please enter only your age, city, state, and chapter affiliation.

Gender

Reporter's Information

You may remain anonymous if you wish. However, providing your information is vastly helpful to a swift and effective investigation. A person reporting alleged misconduct should not fear any retribution and/or consequence when filing a report he or she believes to be true.

Relationship to victim (if any):

Thanks for submitting!

​Support Our Cause

Your donation will play a crucial role in helping Wichita Adaptive provide opportunities for athletes with physical disabilities. With your support, we can offer essential resources, adaptive equipment, inclusive sports programs that empower these athletes to reach their full potential. Together, we can create a community where everyone has the chance participate, compete, and thrive in sports. Thank you for helping us make a difference!

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Amount

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PROVIDE • PROMOTE • ENCOURAGE • ENGAGE • EMPOWER

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WICHITA, KS 67203

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