Injury prevention programs have a positive effect on performance and the reduction of risk in most studies and reviews. However, not all teams and coaches utilize them. In order to better understand this, a 19-item survey was conducted to assess high school coaches’ perceptions, attitudes, and current practices regarding knee injury prevention among adolescent athletes during a mandatory Connecticut certification/re-certification course. The results of the survey show that high school coaches report a wide variability in their attitudes and utilization of training programs related to knee injury prevention. Coaches reported several barriers to employing the programs; the leading issue being time. Future education and outreach efforts should address the barriers in order to increase use of injury prevention training.