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St. Bethlehem Little League

St. Bethlehem Little League

Incident / Injury Report

All accidents, injuries, and close calls, regardless of how minor, will be reported by any Volunteer witnessing the incident to the League Safety Officer within 24-48 hours so that a report can be filed.

Incident/Injury Tracking Reports and Close Call Reports will be used by the Board to consider changes to policy and facility improvements to provide a safe and positive playing environment for the participants of Wall Little League.
 
Please use the Form below for any accidents, injuries, or close calls. Or you can contact Kaitlynn Barrow, League Safety Officer, at  [email protected] for assistance in completing the report.

Completed reports should be given to the League Safety Officer or emailed to [email protected]

Injury Tracking Report

Accident Claims

Notification of a claim for an eligible member under the league’s Accident Insurance should be filed with Little League International within 20 days of the incident.

Please contact the League Safety Officer as soon as you know you want to file a claim for an accident. The League Safety Officer will complete the initial Claim Form and assist you through the process.
 
Once Little League International receives the complete claim form, you will be assigned a claim number for any information that is submitted for the accident. The claim form should be submitted as soon as possible so Little League International can begin a record of the accident and then all itemized bills (includes procedure and diagnosis codes) from the medical providers as well as any primary insurance explanation of benefits (if applicable) for any treatments for the accident can be submitted.

League Safety Officer
Kaitlynn Barrow
[email protected]

What Parents Should Know About Little League Insurance
Accident Claim Form Instructions
Accident Claim Form

A Safety Awareness Program

The purpose of this document is to emphasize the importance of safety at St. Bethlehem Little League, and to identify important safety plans to which individuals involved should be aware. Administrators, Coaches, Volunteers, Parents and Players should take safety issues very seriously. Little League International has introduced A Safety Awareness Program (ASAP) with the goal of emphasizing the position of the Safety Officer to “create awareness through education, information, and other opportunities to provide a safer environment for kids and participants of Little League Baseball and Softball.”  This program has been very successful by dramatically decreasing baseball and softball related injuries in Little League play. This Safety Plan is qualified by the ASAP program.

2025 ASAP

Contact Us

St Bethlehem Little League

PO Box 30069 
Clarksville, Tennessee 37040

Email Us: [email protected]
Phone : 931-272-9002
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