Website Manager

Claremont Little League

Claremont Little League

Accident/Safety Forms


Please contact League Safety Officer: Randy Plotkin via email at:  [email protected] If you need to call 911, please do so immediately. Then, please contact the League Safety Officer.



Injury form

A manager or responsible party will need to fill out and send this document to the Safety Officer when an incident that causes any player, manager, coach, umpire, or volunteer to receive medical treatment and/or first aid. This includes even passive treatments such as the evaluation and diagnosis of the extent of the injury. A Safety Form must be completed and reported to the League Safety Officer within 48 hours of an incident.  The Safety Officer reaches out to parent within 24 hours of receiving form. If needed Safety Officer will forward Little league Intl Accident Form and start the claim process.

This injury form is also used for spectators, guests and other non-player, non-volunteer injuries.  The responsible party fills out this form and sends it to the Safety Officer.  The Safety Officer reaches out to the injured party within 24 hours. If needed, the Safety Officer will forward the Little League General Liability form and let the injured person know that Claremont Little League does not cover spectator/guest injuries, and to contact Little League risk management directly.

Other Links to useful information:

What parents should know


Claremont Little League
112 Harvard Ave, #223
Claremont, California 91711

Phone: 909-239-7036
Email: [email protected]

Copyright © 2023 Claremont Little League  |  Privacy Statement |  Terms Of Use |  License Agreement |  Children's Privacy Policy  Log In