CULVER CITY LITTLE LEAGUE 2018 SAFETY MANUAL 2018 safety final.pdfCulver City Little League President – Manny Aceves (310) 486-4329 . Culver City Little League Safety Officer –

CULVER CITY

LITTLE LEAGUE

2018 SAFETY MANUAL

Emergency Phone Numbers

Culver City Police/Fire - Emergency 9-1-1 Culver City Fire - Emergency (310) 253-5903

Culver City Police - Emergency (310) 837-6161 Culver City Fire - Non-Emergency (310) 253-5900

Culver City Police - Non-Emergency (310) 837-1221 Culver City Little League President – Manny Aceves (310) 486-4329

Culver City Little League Safety Officer – Linda Magaña (310) 497-1036

If you note an unsafe condition or practice, make it your responsibility to correct the situation and/or report the problem to the CCLL Safety Officer or

other League Official immediately.

Culver City Little League - 2018 Safety Manual for Managers and Coaches

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Table of Contents Table of Contents pages 1-2

Culver City Little League Safety Message page 3

Let’s Think Safety First page 4

ASAP Safety Plan page 5

Volunteer Applications & Background Checks page 5

Manual Distribution page 5

2018 Culver City Little League Board page 6

Little League Contacts page 7

Medical Release Forms page 8

Acknowledgment Receipt page 8

First Aid Kits page 9

Codes of Conduct page 9

Code of Conduct Certification Form page 9

Culver City Little League Safety Code pages 9-10

Equipment Inspections page 11

Required Player Equipment page 11

Required Field Equipment page 11

Approved Baseball Bats page 12

Coaches and Managers Training page 13

Training Requirements page 13

First Aid Training page 13

Field Inspections page 13

The Little League’s Ten Commandments of Safety page 14

Concession Stand Safety page 15

Communicable Disease Procedures page 15

Culver City Little League Emergency Safety Procedures page 16

Accident Notification and Insurance Claims page 17

Safety Manual Attachments page 18

Little League Baseball & Softball Medical Release Form Page 19

Culver City Little League Injury Report Form page 20


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Little League Baseball and Softball Accident Notification Form pages 21-22

Little League Baseball and Softball Claim Form Instructions pages 23-24

Little League Volunteer Application - 2018 page 25

Little League “Returning” Application - 2018 page 26

Parent Code of Conduct Page 27

Culver City Little League Volunteer Code of Conduct page 28

Culver City Little League Safety Code Certification Form page 29

Volunteers Must Wash Hands page 30

Pre-Game/ Pre-Practice Warm-Up page 31

Asthma emergency Signs page 32

When It’s Hot, Drink Before You’re Thirsty page 33

Acknowledgement of Receipt page 34

Little League Baseball & Softball National Facility Survey pages 35-41


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Culver City Little League Safety Message It is imperative that the Culver City Little League provide a safe environment for everyone

involved in baseball and softball. In order to create and maintain a safe environment, we require the commitment from all League Officials and Volunteers including Directors, Vice Presidents, Managers, Coaches, and other CCLL Volunteers. All Volunteers will familiarize themselves with and ensure compliance with all safety related policies, procedures, codes of conduct and other information contained within this Safety Manual. The 2018 CCLL Safety Manual will be distributed to all League Officials and Volunteers and will be maintained in common areas as well as being posted on the CCLL website at:

www.culvercitylittleleague.org

A copy of the CCLL Safety Manual will also be forwarded to the District 25 Safety Officer and Little League, International. This manual is also available on request to all CCLL parents and players. The CCLL Board of Directors has approval authority over this Safety Manual. Thank you for your assistance in ensuring that safety is a priority in the Culver City Little League. Manny Aceves, President Gabby Chacon, Vice President Linda Magaña, Safety Officer


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Let’s think Safety First!

• Safety officer, All Board members and Umpires are responsible for enforcing safety rules. • Arrangements should be made in advance of all games and practices for emergency medical

services. • Play area should be inspected regularly for holes, damage, glass, rocks and other foreign

objects. • Only players, managers, coaches and umpires are permitted on the playing field during play

and practice sessions. • Procedure should be established for retrieving foul balls batted out of the playing field. Do not

allow spectators to throw foul balls back onto the field. • Equipment should be inspected regularly. Make sure it fits properly. • Pitching machines may only be used by adults. • Batters must wear protective NOCSAE helmets during practice, as well as during games. • Catchers must wear catcher’s helmet, (with face mask and throat guard), chest protector and

shin guards. Male catchers must wear long-model chest protectors and a protective cup. • Except when returning to a base, head first slides are not permitted. • Players may not wear watches, rings, pins, jewelry, including titanium necklaces during

practice or games. Exceptions: religious symbols may be worn only if taped to the player’s body.

• Catchers must wear catcher’s helmet, face mask, with throat protector, while warming up pitchers. This applies between innings and in the bull pen. Skull caps are not permitted.

• Batters/catchers helmets may not have stickers or be painted unless approved by the manufacturer.

• Regulations prohibit on-deck batters. This means no player should handle a bat, even while in an enclosure, until his/her time at bat.

• Players who are ejected, ill or injured should remain under supervision until released to the parent or guardian.

• Any adult that has been ejected must immediately leave the park. • Offensive players should remain in the dugout in between innings. 1 batter may come out,

under the supervision of the umpire, to wait for his/her turn. • There is no soft toss allow at the playing site. Batters are not allowed to swing bats anywhere

except while in the batter’s box receiving a pitch from the pitcher. (This includes hit sticks) • First & third base coaches must remain standing while coaching. You may not squat down

while in a coaching box. • Only players in uniform, 1 manager and 2 coaches are allowed in the dugouts. • No adult at any time may warm up pitchers!! This includes practices, bullpen, prior to games,

and in between innings. • No Cell phones are allowed on the playing field at any time. EXCEPTION: medical personal

may answer their phone in case of emergencies. • Managers/coaches who are hitting infield must have a player, with a mask on, catching

incoming balls. Adults may not act as the “catcher” during Little League practice or games.

Our unified goal in District 25 is to keep all players free from injury.


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ASAP Safety Plan

To increase awareness, through education and information, of the opportunities to provide a safer environment for kids and all participants of Little League Baseball.

What is it? In 1995, ASAP (A Safety Awareness Program) was introduced with the goal of reemphasizing the position of a Safety Officer "to create awareness, through education and information, of the opportunities to provide a safer environment for kids and all participants of Little League Baseball." This manual is offered as a tool to place some important information at manager's and coach's fingertips. Volunteer Applications & Background Checks: All Culver City Little League Managers, Coaches, including practice Coaches, Board of Directors, Commissioners, and any other person who will be working with players, must fill out a volunteer application and return it, along with a copy of a Government issued photo identification such as a California’s Driver’s License, to the Culver City Little League Safety Officer PRIOR to assuming duties for the current season. The 2018 Little League Volunteer Application form is attached to the Safety Plan. Little League International requires all leagues in the United States to conduct background checks that utilize JDP Background Screening, or another provider that is comparable to JDP in accessing background check records for sex offender registry data and criminal records. Manual Distribution: The Culver City Little League ASAP Plan manual is distributed to each Coach at league start - up meeting s and posted in the concession stand at the Little League Complex. Additionally, this plan is posted on the website: www.culvercitylittleleague.org Facilities Survey: The Culver City Little League will complete this annual survey each year prior to April 1st , and publish and distribute same to all volunteers. Any issues found during this audit will be addressed prior to the start of practice or league play at the Little League Complex. Safety Plan Registration Form: This form will be submitted to Little League International, along with this ASAP Safety Plan, on an annual basis. The form is located on the little league website www.LittleLeague.org. Player and Coach Data: Data should be submitted annually to the Little League Data Center at www.LittleLeague.org.


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CULVER CITY LITTLE LEAGUE BOARD - 2018

Position Board Member E-Mail President Manny Aceves [email protected] Vice President Javier “Gabby” Chacon [email protected] Treasurer Sonia Ortega [email protected] Secretary David Cogan [email protected] Player Agent Michele Friend [email protected] Safety Officer Linda Magaña [email protected] VP Major Baseball Brian Algra vpmajors@ culvercitylittleleague.org VP Minors Baseball David Medina [email protected] Information Officer Frank Wada [email protected] Umpire-in-Chief Carlos Amador [email protected] VP 50/70 OPEN [email protected] VP AA Masa Alkire [email protected] VP Farm Dave Rodriguez [email protected] VP Softball & Player Agent Scott McDowell [email protected] VP Tee-Ball Javier “Gabby” Chacon [email protected] Equipment Manager David Medina [email protected] Field Manager OPEN [email protected] Snack Bar Manager Julie Valdez [email protected] Tam Parent Coordinator OPEN [email protected] Fundraising Director Dave Marrujjo [email protected] Event Coordinator Fabiola Aceves [email protected] City Liaison George Aceves [email protected]


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LITTLE LEAGUE CONTACTS

Mailing Address

Culver City Little League PO Box 189

Culver City, CA 90232 [email protected]

Other Little League Contacts

Little League District 25 Marty Hoy

District Administrator [email protected]

Little League Support Contacts

Little League Regional Office West Region 6707 Little League Drive

San Bernardino, CA 92407 (909) 887-6444 Phone (909) 887-6135 Fax

Little League International Office

PO Box 3485 Williamsport, PA 17701 (570) 326-1921 Phone (570) 322-2376 Fax

539 Route 15 Highway

South Williamsport, PA 17701

mailto:[email protected]

mailto:[email protected]


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Medical Release Forms Parents fill out and sign our Culver City Little League medical release forms when they register their child on-line. Our firm is consistent with the Little League Baseball and Softball Medical Release (see attachment). Each Manager is sent copies of these medical releases and MUST keep copies on hand at every practice and game. No plyer may participate in any practice of game without having completed a Medical Release Form.

Acknowledgment receipt and review of the Little League Safety Manual & First Aid Kit Each manager must complete the Acknowledge of Receipt, Review of the League Safety Manual and First Aid Kit and turn it into the league. The Culver City Little League Safety Manual is posted on the League website and copies are available in the Snack Shack and Scorer’s booths.

First Aid Kits It is the policy of the Culver City Little League to supply all teams with a first aid kit. Managers and coaches may contact the Culver City Little League Safety Officer if there are any problems with first aid kits which need to be replaced or replenished.


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Codes of Conduct Remember, Managers and Coaches are role models and must act in a manner consistent with the code of conduct and with the highest level of moral and ethical character.

Code of Conduct Certification Form Each manager, coach, player and parent must sign the applicable Code of Conduct as having read and discussed it (see attachment). Each team Manager should keep the original signed forms with him/her at all practice and games. Managers will need to certify to the Board that they have ALL signed forms prior to their first practice game. Culver City Little League Safety Code The Culver City Little League Safety Code MUST be discussed with all managers, coaches, players and parents at the initial team meeting. Examples of how these guidelines come into play should also be discussed. Managers, coaches and all players MUST complete and sign the Safety Code Certification Form stating that they understand and agree to comply with the Safety Code. (See attachment) The Board of Directors of Culver City Little League has mandated the following Safety Code: Managers and coaches should be familiar with training in first aid. A first aid kit should

be carried at all times. Ensure that a cellular telephone is available at all games and practices in case of an

emergency. No games or practice should be held when weather or field conditions are not good

particularly when lighting is inadequate. Play area should be inspected frequently for holes, damage, glass, and other foreign

objects.

Only players, managers, coaches and umpires are permitted on the playing field during

games and practice sessions. All players should be alert and watching the batter on each pitch during practice and

games. Inspect equipment regularly and make sure it fits properly.

Catcher must wear catcher's helmet, mask, throat protector, shin guards, long model chest

protector, and protective supporter (male) at all times.


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Head first sliding is prohibited except when returning to a base.

During sliding practice, bases should not be strapped down.

"Horse play" is not permitted on the playing field at any time.

Parents of players who wear glasses should be encouraged to provide "safety glasses".

Catchers must wear catcher's helmet and mask with throat protector when warming up

pitchers. This applies to between innings and in the bullpen. Managers and coaches may not warm up pitchers before or during a game.

On deck batters are not permitted except in Junior and Senior League Divisions.

Batters must wear Little League approved helmets during batting practice and games.

All gates to the field must remain closed at all times.

Ensure players have removed jewelry or metal objects.

Any spilled materials shall be cleaned as soon as possible.

Keep safety in mind at all times and encourage all to think SAFETY FIRST!

SAFETY IS EVERYONE'S RESPONSIBILITY!


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Equipment Inspections It is the responsibility of all managers and coaches to inspect all equipment before all practices and games. At a minimum the inspection will include checking the condition of helmets, bats, and catcher’s gear. The availability of a fully stocked first aid kit and a working telephone will also be checked. Any dangerous conditions, or conditions which require replacement or repairs, should be reported to the Culver City Little League Equipment Manager. Required Player Equipment Defense Athletic Supporter—All male Players Metal, fiber or plastic type cup—All male players Catcher’s helmet and mask, with “dangling” throat guard; NO skull cap—all catchers;

must be worn during pitcher warm-up, infield practice, and while batter is in box Catcher’s mitt—all baseball catchers Chest protector & leg protectors—all catchers; must be worn while batter is in box; long

model is required for little league (Major) and young catcher Offense Helmet meeting NOCSAE standards—all batters, base runners and players in coach’s

box Helmet chinstrap—all helmets made to have chinstrap (with snap buttons, etc.) Regulation-sized ball for the game and division being played; marked RS for regular

season or RS-T for regular season and tournament in baseball Regulation-sized bat all batters; Little League (Majors) and younger baseball divisions

must have bat marked with BPF 1.15 beginning in 2009 Non-wood bats have a grip of cork, tape, or composite material, must extend a minimum

of 10 inches from the small end. Slippery tape is prohibited Required Field Equipment 1st, 2nd, & 3rd bases that disengage from their anchors Pitcher’s plate and home plate Players’ benches behind protective fences Protective backstop and sideline fences


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Approved Baseball Bats As of January 1, 2018, the new USA Baseball Bat Standard was implemented. USABat Standard bats must be used in the Little League Major Baseball Division and below. Either USABatStandard bats or BBCOR bats must be used at the Intermediate (50/70) Baseball and Junior League Baseball Divisions. At the Senior League Baseball Division, all bats must be meet the BBCOR standard. Little League-approved baseball bats that were approved for use for the 2017 season will no longer be acceptable for use in any Little League game or activity as of January 1, 2018. For more information on the USABat standard and a complete list of bats approved through the USABat Standard, visit usabat.com. Important Note: These changes only affect baseball divisions and don’t affect any divisions of softball.


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Coaches and Managers Training

Training Requirements Culver City Little League provides as much training and instruction as possible. It is

mandatory that all head coaches attend pre-season fundamental skill and first aid training clinics prior to season start at least once every three years. It is highly recommended that assistant coaches and team parents attend as well. Volunteers will be alerted of training session dates and times by the Culver City Little League.

All fundamental skill and first aid training sessions will take place at the Culver City Little League Complex

A concussion and head injury information sheet will be distributed to each¬ league participant.

All participants under age 19 must return this form, with parent/guardian signature, prior to participating in any practice or game.

Coaches and Umpires are required to check the field for hazards’ (rocks, holes, etc.) and insure playing equipment is inspected prior to the start of each game.

For the 2018 season, first aid and safety training was provided on February 20, 2018 from 8:00am-10am, at Windward School, 11350 Palms Blvd, Los Angeles, CA, 90066. First Aid Training Culver City Little League will encourage coaches, managers and assistant to attend the annual first aid training provided by the District. There must be at least one representative from each team attending each year and each manager and coach must attend this training at least once every three years. At a minimum the training will address the PRICES guide for treating injuries. P - Protection R - Rest I - Ice C - Compression E - Elevation S - Support

Field Inspections It is the policy of Culver City Little League to have the Safety Officer conduct an annual inspection of all fields and to complete the Little League Facility Survey. In addition to the annual inspection of all fields, it is the responsibility of all managers, coaches, and umpires to inspect the field before all practices and games. At a minimum the inspection will include walking the field and checking for debris, foreign objects, and holes or unlevel ground. Additionally, the condition of fences, backstops, bases and the warning track will be inspected. Any dangerous conditions, or conditions which require repairs, should be reported to both the Culver City Little League Safety Officer or any other League Official.


The Little League’s Ten Commandments of Safety

1. BE ALERT!

2. CHECK PLAYING FIELD FOR SAFETY HAZARDS.

3. WEAR PROPER EQUIPMENT.

4. ENSURE EQUIPMENT IS IN GOOD SHAPE.

5. ENSURE FIRST AID KIT IS AVAILABLE.

6. MAINTAIN CONTROL OF THE SITUATION.

7. MAINTAIN DISCIPLINE.

8. SAFETY IS A TEAM SPORT.

9. BE ORGANIZED.

10. HAVE FUN!

Remember, a safe Culver City Little League season depends on you!

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Concession Stand Safety

People working in the concession stands will be trained in safe food preparation. Training will cover the safe use of the equipment, food handling and hygiene.

Concession stand workers will wash their hands with soap and warm water before

preparing food and as often as needed.

Cooking equipment will be inspected periodically and repaired or replaced if need be.

Natural gas or propane will be turned off at the grill and at the shut off valve after use.

Cooking grease will be stored safely in containers away from open flames.

Cleaning chemicals must be stored in a locked container.

A certified fire extinguisher suitable for grease fires must be placed in plain sight at all times.

All concession stand workers are to be instructed on the use of fire extinguishers.

A fully stocked First Aid Kit will be placed in each concession stand.

The concession stand main entrance door will not be locked or blocked while people are

inside.

Concession stand workers will be a minimum of 14 years of age. At least one adult will be in the concession stand at all times.

Communicable Disease Procedures: Any bleeding must be stopped, the open wound covered, and the uniform changed if there is

blood on it before the athlete may continue to play.

Use vinyl or latex gloves to prevent exposure when contact with blood or other body fluids are anticipated.

Immediately wash hands and other skin surface if contaminated with blood.

Clean all blood contaminated surfaces and equipment with a disinfectant or bleach solution.

Managers, coaches, and volunteers with open wounds should refrain from all direct contact until

the condition is resolved.

Follow accepted guidelines in the immediate control of bleeding and disposal when hauling bloody dressings, mouth guards, and other articles containing body fluids.

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Medical emergency In case of emergency take the following steps: Give first aid and have someone call 911 immediately if an ambulance is necessary. The address to provide is:

9700 Jefferson Boulevard Culver City, CA 90230

Corner of Duquesne & Jefferson

Notify parents immediately if they are not on the scene. Fill out a Culver City Little League Injury Report form (See Attachment). Talk the team about the event and why the situation occurred and how it might have

been prevented.


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CCLL Emergency Safety Procedures

In case of medical emergency:

1. Provide first aid and have someone call 9-1-1 immediately if an ambulance is necessary.

2. Notify parents immediately if they are not present. Managers shall carry a Little

League Medical Release Form at practices and games for each player to ensure medical treatment can be provided when parents are not present.

3. Talk to the rest of your team. They will probably be upset and worried about their

teammate.

4. Notify the League Safety Officer by email within 24 hours. If you do not have access to email, then you can notify by phone.

5. Complete a CCLL Injury Report Form and forward to the CCLL Safety Officer

within 48 hours of the accident/injury. (A copy of this form is included on page 20 of this manual).

Accident Notification and Insurance Claims A Little League Accident Notification Claim Form is required to be completed for injuries requiring professional medical treatment for any player or volunteer affiliated with the CCLL. The CCLL Safety Officer will ensure that these forms are completed and forwarded to Little League Headquarters within 20 days of the accident/injury. A General Liability Claim form is required for injuries or damages to the general public, anyone not affiliated with the CCLL, that are caused by CCLL activities. The CCLL Safety Officer will make telephone notification to Little League Headquarters immediately for any General Liability Claims. The CCLL Safety Officer will ensure that a General Liability Claim form is forwarded to Little League as soon as possible. Sample copies of these forms are included after page 18 of this manual.


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Safety Manual Attachments

The Following Safety Items Are Attached: Little League and Softball Medical Release Form

Culver City Little League Injury Report Form

Little League Baseball and Softball Accident Notification Form

Claim Form Instructions

New Volunteer Application Form – 2018

Returning Volunteer Application Form – 2018

Parent Code of Conduct

Culver City Little League Volunteer Code of Conduct

Culver City Little League Safety Code Certification Form

“Volunteers Must Wash Their Hands” Pre-game / Pre-Practice Warm-Up

Asthma Emergency Signs

Drinking Guidelines for Hot Day Activities

Facilities Survey

Acknowledgment of Receipt and Review of the League Safety Manual and

First Aid Kit

Little League ® Baseball and SoftballM E D I C A L R E L E A S E

NOTE: To be carried by any Regular Season or Tournament Team Manager together with team roster or International Tournament affidavit.

Player: _____________________________________ Date of Birth: ____________ Gender (M/F):_________________

Parent (s)/Guardian Name:_____________________________________ Relationship:____________________________

Parent (s)/Guardian Name:_____________________________________ Relationship:____________________________

Player’s Address:____________________________________ City:_______________ State/Country:________ Zip:______

Home Phone:_____________________ Work Phone:______________________ Mobile Phone:_____________________

PARENT OR LEGAL GUARDIAN AUTHORIZATION: Email: ____________________________

In case of emergency, if family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel. (i.e. EMT, First Responder, E.R. Physician)

Family Physician: ____________________________________________ Phone: _________________________________

Address: __________________________________________ City:________________ State/Country:_________________

Hospital Preference: __________________________________________________________________________________

Parent Insurance Co:_________________________ Policy No.:__________________Group ID#:_____________________

League Insurance Co:_________________________ Policy No.:__________________League/Group ID#:______________

If parent(s)/legal guardian cannot be reached in case of emergency, contact:

___________________________________________________________________________________________________ Name Phone Relationship to Player

___________________________________________________________________________________________________ Name Phone Relationship to Player

Please list any allergies/medical problems, including those requiring maintenance medication. (i.e. Diabetic, Asthma, Seizure Disorder)

Medical Diagnosis Medication Dosage Frequency of Dosage

Date of last Tetanus Toxoid Booster: ______________________________________________________________________

The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.

Mr./Mrs./Ms. ________________________________________________________________________________________ Authorized Parent/Guardian Signature Date:

FOR LEAGUE USE ONLY:

League Name:_______________________________________________ League ID:________________________________

Division:_________________________________Team:______________________________ Date:____________________

WARNING: PROTECTIVE EQUIPMENT CANNOT PREVENT ALL INJURIES A PLAYER MIGHT RECEIVE WHILE PARTICIPATING IN BASEBALL/SOFTBALL.Little League does not limit participation in its activities on the basis of disability, race, color, creed, national origin, gender, sexual preference or religious preference.


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Culver City Little League Injury Report Form

Injured Person’s Name: _______________________________ Date of Injury: ________________ Location Injury Occurred: ___________________________________ Time of Injury: _________ Address of Injured Person: __________________________________________________________ Phone Number: __________________ Parent/Guardian’s Name: ___________________________ Body Part(s) Injured: _______________________________________________________________ Description of injury: _______________________________________________________________ Describe how injury occurred: ________________________________________________________ _________________________________________________________________________________ Was first aid required? (Yes / No) If yes, what? _________________________________________ Was professional medical treatment required? (Yes / No) If yes, what? ______________________ _________________________________________________________________________________ (If yes, the player must present a non-restrictive medical release prior to being allowed in a game or practice.) Could this incident have been avoided? (Yes / No) If yes, how? ____________________________ _________________________________________________________________________________ Witness: _______________________________________ Phone Number: ___________________ This form is for Culver City Little League purposes only, to identify safety hazards, unsafe practices and/or to contribute positive ideas in order to improve league safety. When an injury occurs, obtain as much information as possible. For all reports of injuries requiring professional medical treatment, the parent/guardian and a League Official will complete and forward the official Little League Baseball Accident Notification Form to the CCLL Safety Officer or President. The form is available from the Safety Officer or at http://www.littleleague.org. The completed Accident Notification Form will be sent to Little League Headquarters in Williamsport within 20 days of the injury. Also, the District 25 Safety Officer will receive a copy for District files. All personal injuries requiring professional medical treatment should be reported to Williamsport as soon as possible. Prepared By: _________________________________ Position: ___________________________ Signature: __________________________________ Phone Number: _______________________ Date: _________________________

LITTLE LEAGUE® BASEBALL AND SOFTBALLACCIDENT NOTIFICATION FORM

INSTRUCTIONS

1. Thisformmustbecompletedbyparents(ifclaimantisunder19yearsofage)andaleagueofficialandforwardedtoLittleLeagueHeadquarterswithin20daysaftertheaccident.Aphotocopyofthisformshouldbemadeandkeptbytheclaimant/parent.Initialmedical/dentaltreatmentmustberenderedwithin30daysoftheLittleLeagueaccident.

2. Itemizedbillsincludingdescriptionofservice,dateofservice,procedureanddiagnosiscodesformedicalservices/suppliesand/orotherdocumentationrelatedtoclaimforbenefitsaretobeprovidedwithin90daysaftertheaccidentdate.Innoeventshallsuchproofbefurnishedlaterthan12monthsfromthedatethemedicalexpensewasincurred.

3. Whenotherinsuranceispresent,parentsorclaimantmustforwardcopiesoftheExplanationofBenefitsorNotice/LetterofDenialforeachchargedirectlytoLittleLeagueHeadquarters,evenifthechargesdonotexceedthedeductibleoftheprimaryinsuranceprogram.

4. Policyprovidesbenefitsforeligiblemedicalexpensesincurredwithin52weeksoftheaccident,subjecttoExcessCoverageandExclusionprovisionsoftheplan.

5. Limiteddeferredmedical/dentalbenefitsmaybeavailablefornecessarytreatmentincurredafter52weeks.Refertoinsurancebrochureprovidedtotheleaguepresident,orcontactLittleLeagueHeadquarterswithintheyearofinjury.

6. AccidentClaimFormmustbefullycompleted-includingSocialSecurityNumber(SSN)-forprocessing.

LeagueName LeagueI.D.

NameofInjuredPerson/Claimant SSN SexAgeDateofBirth(MM/DD/YY)

NameofParent/Guardian,ifClaimantisaMinor HomePhone(Inc.AreaCode) Bus.Phone(Inc.AreaCode)( ) ( )

AddressofClaimant AddressofParent/Guardian,ifdifferent

TheLittleLeagueMasterAccidentPolicyprovidesbenefitsinexcessofbenefitsfromotherinsuranceprogramssubjecttoa$50deductibleperinjury.“Otherinsuranceprograms”includefamily’spersonalinsurance,studentinsurancethroughaschoolorinsurancethroughanemployerforemployeesandfamilymembers.PleaseCHECKtheappropriateboxesbelow.IfYES,followinstruction3above.

IherebycertifythatIhavereadtheanswerstoallpartsofthisformandtothebestofmyknowledgeandbelieftheinformationcontainediscompleteandcorrectashereingiven.Iunderstandthatitisacrimeforanypersontointentionallyattempttodefraudorknowinglyfacilitateafraudagainstaninsurerbysubmittinganapplicationorfilingaclaimcontainingafalseordeceptivestatement(s).SeeRemarkssectiononreversesideofform.Iherebyauthorizeanyphysician,hospitalorothermedicallyrelatedfacility,insurancecompanyorotherorganization,institutionorpersonthathasanyrecordsorknowledgeofme,and/ortheabovenamedclaimant,orourhealth,todisclose,wheneverrequestedtodosobyLittleLeagueand/orNationalUnionFireInsuranceCompanyofPittsburgh,Pa.Aphotostaticcopyofthisauthorizationshallbeconsideredaseffectiveandvalidastheoriginal.

Date

Date

Claimant/Parent/GuardianSignature(Inatwoparenthousehold,bothparentsmustsignthisform.)

Claimant/Parent/GuardianSignature

DateofAccident TimeofAccident TypeofInjury

AM PMDescribeexactlyhowaccidenthappened,includingplayingpositionatthetimeofaccident:

Checkallapplicableresponsesineachcolumn: BASEBALL SOFTBALL CHALLENGER TAD(2NDSEASON)

CHALLENGER (5-18) T-BALL (5-8) MINOR (7-12) LITTLELEAGUE(9-12) JUNIOR (13-14) SENIOR (14-16) BIGLEAGUE (16-18)

PLAYER MANAGER,COACH VOLUNTEERUMPIRE PLAYERAGENT OFFICIALSCOREKEEPER SAFETYOFFICER VOLUNTEERWORKER

TRYOUTS PRACTICE SCHEDULEDGAME TRAVELTO TRAVELFROM TOURNAMENT OTHER(Describe)

SPECIALEVENT(NOTGAMES)

SPECIALGAME(S)(SubmitacopyofyourapprovalfromLittleLeagueIncorporated)

Send Completed Form To:LittleLeague®International539USRoute15Hwy,POBox3485 WilliamsportPA17701-0485Accident Claim Contact Numbers: Phone:570-327-1674

PART1

Female Male

DoestheinsuredPerson/Parent/Guardianhaveanyinsurancethrough: EmployerPlan Yes No SchoolPlan Yes NoIndividualPlan Yes No DentalPlan Yes No

INTERMEDIATE (50/70) (11-13)

JUNIOR (12-14)SENIOR (13-16)BIG (14-18)

(4-18)(4-7)(6-12)

For Residents of California:Anypersonwhoknowinglypresentsafalseorfraudulentclaimforthepaymentofalossisguiltyofacrimeandmaybesubjecttofinesandconfinementinstateprison.

For Residents of New York:Anypersonwhoknowinglyandwiththeintenttodefraudanyinsurancecompanyorotherpersonfilesanapplicationforinsuranceorstatementofclaimcontaininganymateriallyfalseinformation,orconcealsforthepurposeofmisleading,informationconcerninganyfactmaterialthereto,commitsafraudulentinsuranceact,whichisacrime,andshallalsobesubjecttoacivilpenaltynottoexceedfivethousanddollarsandthestatedvalueoftheclaimforeachsuchviolation.

For Residents of Pennsylvania:Anypersonwhoknowinglyandwithintenttodefraudanyinsurancecompanyorotherpersonfilesanapplicationforinsuranceorstatementofclaimcontaininganymateriallyfalseinformationorconcealsforthepurposeofmisleading,informationconcerninganyfactmaterialtheretocommitsafraudulentinsuranceact,whichisacrimeandsubjectssuchpersontocriminalandcivilpenalties.

For Residents of All Other States:Anypersonwhoknowinglypresentsafalseorfraudulentclaimforpaymentofalossorbenefitorknowinglypresentsfalseinformationinanapplicationforinsuranceisguiltyofacrimeandmaybesubjecttofinesandconfinementinprison.

PART 2 - LEAGUE STATEMENT (Other than Parent or Claimant)NameofLeague NameofInjuredPerson/Claimant LeagueI.D.Number

NameofLeagueOfficial PositioninLeague

AddressofLeagueOfficial TelephoneNumbers(Inc.AreaCodes)Residence: ( )Business: ( )Fax: ( )

Wereyouawitnesstotheaccident? Yes NoProvidenamesandaddressesofanyknownwitnessestothereportedaccident.

Checktheboxesforallappropriateitemsbelow.Atleastoneitemineachcolumnmustbeselected.POSITION WHEN INJURED 01 1ST 02 2ND 03 3RD 04 BATTER 05 BENCH 06 BULLPEN 07 CATCHER 08 COACH 09 COACHINGBOX 10 DUGOUT 11 MANAGER 12 ONDECK 13 OUTFIELD 14 PITCHER 15 RUNNER 16 SCOREKEEPER 17 SHORTSTOP 18 TO/FROMGAME 19 UMPIRE 20 OTHER 21 UNKNOWN 22 WARMINGUP

INJURY 01 ABRASION 02 BITES 03 CONCUSSION 04 CONTUSION 05 DENTAL 06 DISLOCATION 07 DISMEMBERMENT 08 EPIPHYSES 09 FATALITY 10 FRACTURE 11 HEMATOMA 12 HEMORRHAGE 13 LACERATION 14 PUNCTURE 15 RUPTURE 16 SPRAIN 17 SUNSTROKE 18 OTHER 19 UNKNOWN 20 PARALYSIS/ PARAPLEGIC

PART OF BODY 01 ABDOMEN 02 ANKLE 03 ARM 04 BACK 05 CHEST 06 EAR 07 ELBOW 08 EYE 09 FACE 10 FATALITY 11 FOOT 12 HAND 13 HEAD 14 HIP 15 KNEE 16 LEG 17 LIPS 18 MOUTH 19 NECK 20 NOSE 21 SHOULDER 22 SIDE 23 TEETH 24 TESTICLE 25 WRIST 26 UNKNOWN 27 FINGER

CAUSE OF INJURY 01 BATTEDBALL 02 BATTING 03 CATCHING 04 COLLIDING 05 COLLIDINGWITHFENCE 06 FALLING 07 HITBYBAT 08 HORSEPLAY 09 PITCHEDBALL 10 RUNNING 11 SHARPOBJECT 12 SLIDING 13 TAGGING 14 THROWING 15 THROWNBALL 16 OTHER 17 UNKNOWN

Doesyourleagueusebreakawaybaseson: ALL SOME NONE ofyourfields?Doesyourleagueusebattinghelmetswithattachedfaceguards? YES NOIfYES,arethey Mandatory or Optional Atwhatlevelsaretheyused?IherebycertifythattheabovenamedclaimantwasinjuredwhilecoveredbytheLittleLeagueBaseballAccidentInsurancePolicyatthetimeofthereportedaccident.IalsocertifythattheinformationcontainedintheClaimant’sNotificationistrueandcorrectasstated,tothebestofmyknowledge.Date LeagueOfficialSignature

Little League® Baseball & Softball

CLAIM FORM INSTRUCTIONS

WARNING — It is important that parents/guardians and players note that: Protective equipment cannot

prevent all injuries a player might receive while participating in baseball/softball.

To expedite league personnel’s reporting of injuries, we have prepared guidelines to use as a checklist in completing

reports. It will save time -- and speed your payment of claims.

The National Union Fire Insurance Company of Pittsburgh, Pa. (NUFIC) Accident Master Policy acquired through

Little League® contains an “Excess Coverage Provision” whereby all personal and/or group insurance shall be used

first.

The Accident Claim Form must be fully completed, including a Social Security Number, for processing.

To help explain insurance coverage to parents/guardians refer to What Parents Should Know on the internet that

should be reproduced on your league’s letterhead and distributed to parents/guardians of all participants at

registration time.

If injuries occur, initially it is necessary to determine whether claimant’s parents/guardians or the claimant has other

insurance such as group, employer, Blue Cross and Blue Shield, etc., which pays benefits. (This information should

be obtained at the time of registration prior to tryouts.) If such coverage is provided, the claim must be filed first

with the primary company under which the parent/guardian or claimant is insured.

When filing a claim, all medical costs should be fully itemized and forwarded to Little League International. If no

other insurance is in effect, a letter from the parent/guardian or claimant’s employer explaining the lack of group or

employer insurance should accompany the claim form.

The NUFIC Accident Policy is acquired by leagues, not parents, and provides comprehensive coverage at an

affordable cost. Accident coverage is underwritten by National Union Fire Insurance Company of Pittsburgh, a

Pennsylvania Insurance company, with its principal place of business at 175 Water Street, 18th Floor, New York,

NY 10038. It is currently authorized to transact business in all states and the District of Columbia. NAIC Number

19445.This is a brief description of the coverage available under the policy. The policy will contain limitations,

exclusions, and termination provisions. Full details of the coverage are contained in the Policy. If there are any

conflicts between this document and the Policy, the Policy shall govern.

The current insurance rates would not be possible without your help in stressing safety programs at the local level.

The ASAP manual, League Safety Officer Program Kit, is recommended for use by your Safety Officer.

TREATMENT OF DENTAL INJURIES

Deferred Dental Treatment for claims or injuries occurring in 2002 and beyond: If the insured incurs injury to sound,

natural teeth and necessary treatment requires that dental treatment for that injury must be postponed to a date more

than 52 weeks after the date of the injury due to, but not limited to, the physiological changes occurring to an

insured who is a growing child, we will pay the lesser of the maximum benefit of $1,500.00 or the reasonable

expense incurred for the deferred dental treatment. Reasonable expenses incurred for deferred dental treatment are

only covered if they are incurred on or before the insured’s 23rd birthday. Reasonable Expenses incurred for

deferred root canal therapy are only covered if they are incurred within 104 weeks after the date the Injury is

sustained.

CHECKLIST FOR PREPARING CLAIM FORM

1. Print or type all information.

2. Complete all portions of the claim form before mailing to our office.

3. Be sure to include league name and league ID number.

PART I - CLAIMANT, OR PARENT(S)/GUARDIAN(S), IF CLAIMANT IS A MINOR

1. The adult claimant or parent(s)/guardians(s) must sign this section, if the claimant is a minor.

2. Give the name and address of the injured person, along with the name and address of the

parent(s)/guardian(s), if claimant is a minor.

3. Fill out all sections, including check marks in the appropriate boxes for all categories. Do not leave any

section blank. This will cause a delay in processing your claim and a copy of the claim form will be

returned to you for completion.

4. It is mandatory to forward information on other insurance. Without that information there will be a delay in

processing your claim. If no insurance, written verification from each parent/spouse employer must be

submitted.

5. Be certain all necessary papers are attached to the claim form. (See instruction 3.) Only itemized bills are

acceptable.

6. On dental claims, it is necessary to submit charges to the major medical and dental insurance company of

the claimant, or parent(s)/guardian(s) if claimant is a minor. “Accident-related treatment to whole, sound,

natural teeth as a direct and independent result of an accident” must be stated on the form and bills. Please

forward a copy of the insurance company’s response to Little League International. Include the claimant’s

name, league ID, and year of the injury on the form.

PART II - LEAGUE STATEMENT

1. This section must be filled out, signed and dated by the league official.

2. Fill out all sections, including check marks in the appropriate boxes for all categories. Do not leave any

section blank. This will cause a delay in processing your claim and a copy of the claim form will be

returned to you for completion.

IMPORTANT: Notification of a claim should be filed with Little League International within 20 days of the

incident for the current season.

Little League® Volunteer Application - 2018Do not use forms from past years. Use extra paper to complete if additional space is required.

A COPY OF VALID GOVERNMENT ISSUED PHOTO IDENTIFICATION MUST BE ATTACHED TO COMPLETE THIS APPLICATION.

Name _________________________________________________________ Date _____________ First Middle Last Address ______________________________________________________________________

City _________________________________ State ________________ Zip _____________Social Security # (mandatory with First Advantage or upon request) ___________________________________________

Cell Phone ___________________________ Business Phone __________________________

Home Phone: _________________________ E-mail Address: __________________________

Date of Birth __________________________________________________________________

Occupation ___________________________________________________________________

Employer _____________________________________________________________________

Address ______________________________________________________________________

Special professional training, skills, hobbies: ______________________________________________________________________________________________________________________Community affiliations (Clubs, Service Organizations, etc.):_____________________________________________________________________________Previous volunteer experience (including baseball/softball and year):_____________________________________________________________________________

1. Do you have children in the program? Yes No If yes, list full name and what level? _________________________________________

2. Special Certification (CPR, Medical, etc.)? (list) Yes No

3. Do you have a valid driver’s license? Yes No Driver’s License#: _________________________________ State ________________

4. Have you ever been convicted of or plead no contest or guilty to any crime(s) involving or against a minor?

If yes, describe each in full: ______________________________________ Yes No

5. Have you ever been convicted of or plead no contest or guilty to any crime(s) Yes No If yes, describe each in full: _________________________________________________(Answering yes to question 5, does not automatically disqualify you as a volunteer.)

6. Do you have any criminal charges pending against you regarding any crime(s)? Yes No If yes, describe each in full: _________________________________________________(Answering yes to question 6, does not automatically disqualify you as a volunteer.)

7. Have you ever been refused participation in any other youth programs? Yes No If yes, explain: ____________________________________________________________ ________________________________________________________________________

In which of the following would you like to participate? (Check one or more.)

Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:

Name/Phone_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

IF YOU LIVE IN A STATE THAT REQUIRES A SEPARATE BACKGROUND CHECK BY LAW, PLEASE ATTACH A COPY OF THAT STATE’S BACKGROUND CHECK. FOR MORE INFORMATION ON STATE LAWS, VISIT OUR WEBSITE:

https://www.littleleague.org/player-safety/state-laws-background-checks-leagues/

AS A CONDITION OF VOLUNTEERING, I give permission for the Little League organization to conduct background check(s) on me now and as long as I continue to be active with the organization, which may include a review of sex offender registries (some of which contain name only searches which may result in a report being generated that may or may not be me), child abuse and criminal history records. I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the local Little League, Little League Baseball, Incorporated, the officers, employees and volunteers thereof, or any other person or organization that may provide such information. I also understand that, regardless of previous appointments, Little League is not obligated to appoint me to a volunteer position. If appointed, I understand that, prior to the expiration of my term, I am subject to suspension by the President and removal by the Board of Directors for violation of Little League policies or principles.

Applicant Signature ________________________________________ Date _______________

If Minor/Parent Signature ___________________________________ Date _______________

Applicant Name(please print or type) ______________________________________________

_____________________________________________________________________________

NOTE: The local Little League and Little League Baseball, Incorporated will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.

LOCAL LEAGUE USE ONLY:Background check completed by league officer _______________________________on __________________________________________________________________

System(s) used for background check (minimum of one must be checked):Regulation I(c)(9) Mandates all checks include criminal records and sex offender registry records

*Please be advised that if you use JDP and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter or email directly from JDP in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer.

Only attach to this application copies of background check reports that reveal convictions of this application.

* JDP Sex Offender Registry Data and National Criminal Records check, as mandated in the current season’s

official regulations

League Official Coach

Umpire

Field Maintenance

Manager Scorekeeper

Concession Stand Other

Last Updated: 2/16/2018

Little League® “Returning” Volunteer Application - 2018Do not use forms from past years. Use extra paper to complete if additional space is required.

If you filled out a volunteer application last year and your league uses the background check tools provided by Little League International, please fill out the returning volunteer application. Otherwise, please use the standard volunteer application.

1. Have you ever been convicted of or plead no contest or guilty to any crime(s) involving or against a minor?

Yes No If yes, describe each in full: __________________________________________________________________________________________________________

2. Have you ever been convicted of or plead no contest or guilty to any crime(s) Yes No If yes, describe each in full: ________________________________________________(Answering yes to question 2, does not automatically disqualify you as a volunteer.)

3. Do you have any criminal charges pending against you regarding any crime(s)? Yes No If yes, describe each in full: ________________________________________________(Answering yes to question 3, does not automatically disqualify you as a volunteer.)

4. Have you ever been refused participation in any other youth programs? Yes No If yes, explain: __________________________________________________________________________________________________________________________________

5. In which of the following would you like to participate? (Check one or more.)

League Official

Coach

Umpire

Field Maintenance

Manager

Scorekeeper

Concession Stand

Other

Please update ONLY the information in this section which has changed since last year.

Name _______________________________________________________________________ First Middle Last

Address _____________________________________________________________________

City _________________________________ State ____________________ Zip ___________

Home Phone: _________________________ Cell Phone _____________________________

Work Phone: __________________________ E-mail Address: _________________________

Driver’s License#: _____________________________________________________________

Occupation: __________________________________________________________________

Employer: ___________________________________________________________________

Address: ____________________________________________________________________

Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:Name/Phone_____________________________________ / __________________________________________________________________________ / __________________________________________________________________________ / _____________________________________

Special professional training, skills, hobbies:____________________________________________________________________________

Special Certifications (CPR, Medical, etc.): ____________________________________________________________________________

Special Affiliations (Clubs, Services Organizations, etc.) :________________________________________________________________________________________________________________________________________________________

Previous volunteer experience (including baseball/softball and years (s)): ____________________________________________________________________________

IF YOU LIVE IN A STATE THAT REQUIRES A SEPARATE BACKGROUND CHECK BY LAW, PLEASE ATTACH A COPY OF THAT STATE’S BACKGROUND CHECK. FOR MORE INFORMATION ON STATE LAWS, VISIT OUR WEBSITE: https://www.littleleague.org/player-safety/state-laws-background-checks-leagues/

LOCAL LEAGUE USE ONLY:Background check completed by league officer _______________________________ on ___________________________System(s) used for background check (minimum of one must be checked): Regulation I(c)(9) Mandates all checks include criminal records and sex offender registry records

*Please be advised that if you use JDP and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter or email directly from JDP in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer.

Only attach to this application copies of background check reports that reveal convictions of this application.

*JDP Sex Offender Registry Data and National Criminal Records

check, as mandated in the current season’s official regulations

AS A CONDITION OF VOLUNTEERING, I give permission for the Little League organization to conduct background check(s) on me now and as long as I continue to be active with the organization, which may include a review of sex offender registries (some of which contain name only searches which may result in a report being generated that may or may not be me), child abuse and criminal history records. I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the local Little League, Little League Baseball, Incorporated, the officers, employees and volunteers thereof, or any other person or organization that may provide such information. I also understand that, regardless of previous appointments, Little League is not obligated to appoint me to a volunteer position. If appointed, I understand that, prior to the expiration of my term, I am subject to suspension by the President and removal by the Board of Directors for violation of Little League policies or principles.

Applicant Name (please print or type) ______________________________________________

Applicant Signature _________________________________________ Date ____________

If Minor/Parent Signature _____________________________________ Date ____________

NOTE: The local Little League and Little League Baseball, Incorporated will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.

Last Updated: 2/16/18


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PARENT CODE OF CONDUCT

The support of parents is crucial to the success of our program. The vast majority of parents whose children participate in baseball/softball are well behaved. Occasionally there is the exception and we have developed this "Parent's Code of Conduct" to convey the expectations behavior for all adults at the park. As a parent, guardian or adult supporter of a player at the park, you are expected to abide by this code of conduct. The essential elements of character building and ethics in sports are embodied in the concept of sportsmanship and six core principles: trustworthiness, respect, responsibility, fairness, caring, and good citizenship. The highest potential of sports is achieved when competition reflects these "six pillars of character." I therefore agree to: Remember that parents/adults are at a game to

support the players, coaches and umpires a parent is not part of the game

itself.

make positive comments, cheers and applause.

encourage players to excel.

compliment good play and effort, for both teams and all players.

aid the players in understanding and appreciating what is accomplished in a game, by both teams, so that all of the players may learn the value of effort, skill refinement, and understanding of the game.

Accept responsibility as a primary, positive role model. You are your

child's number one role model. You are also a role model for other players in the game, and children in attendance at the park. Lead by example and present the best example of character and behavior at all times.

Allow the coach to coach the team! Be an enthusiastic, positive supporter of the coaches' work during games with both your actions and your words.


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Relieve the pressure of competition by helping players enjoy practices and games. Players feel enough pressure on their own.

Help the coach aid your player by making certain they are on time and properly equipped for all practices and games.

Treat all participants (players, coaches, umpires, and spectators) with the same respect that you would want for your own child.

Learn all you can about the game. Before you attempt to interpret the Laws of the Game, be sure you know and understand them.

Appreciate good play, no matter who makes it. Remember the game is for the players and no one else. Do all you can to

support them. Make baseball an educational opportunity. Support the team, division, and league, as they strive to give your child a

positive experience. Volunteer when you can. Say "thanks" to those who give their free time to the sport of baseball.

Try to meet the parents of the other team. We all want the same results for our kids. It is much harder to show disrespect to someone if you know them.

Win with grace, lose with dignity. We keep score, we record who wins and loses, and it matters to the players; they need to learn how to handle both the wins and the losses, so take an active interest in how participation is affecting your child as he/she grows into an adult. Help them know how to win and how to find positives in a losing game.

Conduct that is discouraged: Do not remind umpires of calls, try to enforce rules, or attempt to influence

umpires calls or decisions. Do not berate or belittle any player, team, or plays on the field. Do not try to influence the opposing team by making disparaging remarks or

creating distractions. NEVER YELL AT OR TOUCH AN UMPIRE. DO NOT CONFRONT

AN UMPIRE OFF THE FIELD. BEHAVIOR SUCH AS THIS IS NOT TOLERATED. YOU AND YOUR TEAM'S HEAD COACH CAN BE EJECTED FROM THE PARK FOR THIS TYPE OF BEHAVIOR.

These rules of conduct don't replace common sense and fair play so they will not address every issue or incident which may occur. Please use your Coach or League director to resolve any question or problems which may arise.


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CULVER CITY LITTLE LEAGUE VOLUNTEER CODE OF CONDUCT CONTRACT

The Board of Directors of Culver City Little League has mandated the following Culver City Little League Code of Conduct. All volunteers will read this Code of Conduct Contract and sign in the space provided acknowledging that he/she understands and agrees to comply with the Code of Conduct. No board member, manager, coach, player or spectator shall, at any time:

• Lay a hand upon, push, shove, strike, or threaten to strike an official.

• Be guilty of heaping personal verbal or physical abuse upon any official for any real or imaginary belief of a wrong decision or judgment.

• Be guilty of an objectionable demonstration of dissent at an official's decision by throwing of

gloves, helmets, hats, bats, balls, or any other forceful unsportsmanlike action.

• Be guilty of using unnecessarily rough tactics in the play of a game against the body of an opposing player.

• Be guilty of a physical attack upon any board member, official, manager, coach, player or

spectator.

• Be guilty of the use of profane, obscene or vulgar language in any manner at any time.

• Appear on the field of play, stands, or anywhere on the CCLL complex while in an intoxicated state. Intoxicated will be defined as an odor or behavior issue.

• Be guilty of gambling upon any play or outcome of any game with anyone at any time.

• Smoke while in the stands or on the playing field or in any dugout. Smoking is not permitted in

any public parks in Culver City.

• Be guilty of publicly discussing with spectators in a derogatory or abusive manner any play, decision or a personal opinion on any players during the course of the game.

• Speak disrespectfully to any manager, coach, official or representative of the league.

• Be guilty of tampering or manipulating any league rosters, schedules, draft positions or

selections, official score books, rankings, financial records or procedures.

• Challenge an umpire's authority. The umpires shall have the authority and discretion during a game to penalize the offender according to the infraction up to and including expulsion from the game.

The Board of Directors will review all infractions of the CCLL Code of Conduct. Depending on the seriousness or frequency, the Board may assess disciplinary action up to, and including, expulsion from the League. I have read the Culver City Little League Code of Conduct and promise to adhere to its rules and regulations.

Date: ________________________ Team/Position: ____________________

_____________________________ _________________________________ Print Name Signature

Culver City Little League - 2018 Safety Manual

Culver City Little League Safety Code Certification Form

Manager Name:

Team Name:

Division:

Date:

I, as a team manager or coach, hereby certify to Culver City Little League and its Board of Directors that I have reviewed discussed with and explained to all players and parents on my team the Culver City Little League Safety Code and agrees to abide by and enforce such Code.

Signature of Team Manager

Signature of Team Coach

Name Printed


Name Printed


Name Printed

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The Objective: To get yourself and/or your team truly ready to pick up a baseball and play the game hard with less risk of injury.

The Challenge: We have a standing rule for all practices and pre-games on teams coached: you never pick up a baseball to throw it until your entire body is ready to handle the strain. We want to see a mild sweat coming from the pores before you start throwing.

That's a tough rule to enforce when a new season begins. There will always be players who show up, grab a ball and start throwing as if that's all there is to baseball ...and without realizing that a cold arm is a soon-to-be-injured arm. So we insist when necessary. On the lessons that follow, we will outline the sequence and structure that has worked for us for many years. While there is a focus on arm/core prep, it's not just for pitchers and catchers but all players.

ELEMENT / PURPOSE / DURATION

Light JogJust to get the body loose, as soon as the cleats are on - from the dugout to the foul pole and back. Get water before proceeding. 1 min. or less

Arm Circles To move from linear resistance (tubing) to dynamic, circular movement. Hold 2 or 3 balls in each hand, go clockwise and counter, with palms up and palms down. About 2 mins, 10 rotations per position. Line

Work To engage the lower body, all players on outfield foul line, pace it out even with 2nd base. Start with simple ankle loosening, progress to hip-flexor strides, laterals, cross-overs, high leaps, and lunges with twist. Through multi-step sequence, 5 min.

Sprint Jog To increase core temp, to add a short-burst interval component on top of aerobic jog. Also called wind sprints or Scottish mile. Players run in a straight line, last player in line sprints to front and slows to jog, repeat until everyone has done a sprint component. Either full lap of field or across outfield from foul pole to foul pole, but must include the sprint component, not just running.

Water Break This can be individual or in a circle while discussing plans for the practice 2 minutes max.

THROWINGWith bodies warmed up, players now get to throw.One-knee throws (10 - 15 throws)Standing at 30', 60' (5 throws each)Crow-hop distance (minimum 1/3rd past base-to-base distance.) Finally rapid fire sequence. ( 10 throws)

(5 -10 throws each)

Pre game / Pre Practice Warm-Up


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Culver City Little League Injury Report Form Injured Person’s Name: _______________________________ Date of Injury: ________________ Location Injury Occurred: ___________________________________ Time of Injury: _________ Address of Injured Person: __________________________________________________________ Phone Number: __________________ Parent/Guardian’s Name: ___________________________ Body Part(s) Injured: _______________________________________________________________ Description of injury: _______________________________________________________________ Describe how injury occurred: ________________________________________________________ _________________________________________________________________________________ Was first aid required? (Yes / No) If yes, what? _________________________________________ Was professional medical treatment required? (Yes / No) If yes, what? ______________________ _________________________________________________________________________________ (If yes, the player must present a non-restrictive medical release prior to being allowed in a game or practice.) Could this incident have been avoided? (Yes / No) If yes, how? ____________________________ _________________________________________________________________________________ Witness: _______________________________________ Phone Number: ___________________ This form is for Culver City Little League purposes only, to identify safety hazards, unsafe practices and/or to contribute positive ideas in order to improve league safety. When an injury occurs, obtain as much information as possible. For all reports of injuries requiring professional medical treatment, the parent/guardian and a League Official will complete and forward the official Little League Baseball Accident Notification Form to the CCLL Safety Officer or President. The form is available from the Safety Officer or at http://www.littleleague.org. The completed Accident Notification Form will be sent to Little League Headquarters in Williamsport within 20 days of the injury. Also, the District 25 Safety Officer will receive a copy for District files. All personal injuries requiring professional medical treatment should be reported to Williamsport as soon as possible. Prepared By: _________________________________ Position: ___________________________ Signature: __________________________________ Phone Number: _______________________ Date: _________________________ Please forward this completed Injury Report Form to the CCLL Safety Officer within 48 hours of having knowledge of the accident/injury.


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ACKNOWLEDGEMENT OF RECEIPT &

REVIEW OF THE LEAGUE SAFETY MANUAL & FIRST AID KIT

Manager Name: Team Name: Division: Date: I, as a team member hereby certify to Culver City Little League and its Board of Directors that (1) I have received a League provided First Aid Kit and (2) I have received and review the Culer City Little League Safety Manual, understand its contents and agree to adhere (and require my players to adhere) to the safety procedures contained herein. Signature of Team Manager

Documents

CULVER CITY LITTLE LEAGUE 2018 SAFETY MANUAL 2018 safety final.pdfCulver City Little League President – Manny Aceves (310) 486-4329 . Culver City Little League Safety Officer –