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* 1. Date of  event

Date

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* 3. Name and Age of Participants

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* 4. What new skills were learned in the session?

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* 5. What new safety knowledge and/or awareness did they learn?

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* 6. What new cultural knowledge and/or awareness was covered?

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* 7. From a debrief session with the participants, what key words or phrases came back from their feedback?

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* 8. Were there any concerns to note about the session?

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* 9. Was there anything that went particularly well or that you’re proud of about any of the participants?

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* 10. Kaimahi present

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