Here is a Safety Information sheet which may be a helpful resource for you.
Incident Report Form for Injuries or Other Issues
The AYSO Incident Report Form is used whenever
there
is a personal injury, damaged property, or threats of actual physical violence surrounding an AYSO game, practice,
event or property. The form should be filled out as soon as possible after the incident and should be prepared by the
coach, AYSO official or a member of the Region staff such as the Safety Director or event staff members.
If
you have a player that is injured during an AYSO
activity (and that injury requires medical attention or requires him/her to miss a practice or a game), immediately
complete the AYSO Incident Report Form (Attached). Incident reports are not needed for small injuries that
require a bandage, an ice pack or if a player goes back into a game after coming off the field for a short period of
time.
Filling out an Incident Report as soon as possible will allow you to capture facts and contact
information before witnesses leave the field. Completion of the form is required by AYSO, and is a prerequisite
for the injured participant to be eligible for AYSO insurance.
Please complete the Incident Report in full,
including the individual's primary insurance carrier and policy number. This information is most often omitted.
It is essential information in order for the player/volunteer to be eligible for our AYSO insurance, which is
secondary to their primary insurance. Please provide this information when you submit the Incident Report.
It is not optional. It is a detriment to the player/volunteer not to include this information. The
Incident Report MUST be completed immediately. For example, if you have a player injured over the weekend, we need
the form Monday morning.
Injury Release Forms
Following an injury, a Release Form will also be required. Participation Release Form
The forms you need are attached. Once
completed, please return it to our Regional Safety Director, for processing. You can scan it and e-mail it to
the email listed on the board members contact page.
Please have these forms available
at your practices and games in the event you need them.
Player General Release
Once
the team coach has assumed charge of the children on his/her team, the coach remains responsible until a duly
designated adult has taken charge of each child after a practice or game. No child shall be left
unsupervised after a game or practice. Parents who are unreasonably late or consistently tardy may be
reported to the Regional Child and Volunteer Protection Advocate (CVPA) for action. Each coach may establish a
standing
policy of where children may be picked up by late parents. AYSO does not encourage children to walk or ride a
bicycle home or to a friend or relative’s house. However, we recognize that it may be necessary in some cases.
Neither AYSO nor the coach can be responsible for a child’s safety if they do walk or ride home. A parent
or guardian assumes full responsibility for the safety of the child once he or she is released from a practice or
game. Please note that this also applies in the case of players who are of legal driving age and transport
themselves to and from AYSO activities. If your child will be walking, riding a bicycle or driving
themselves home from practice or games, please complete the following in order for your coach to
release them:
AYSO Soccer Accident Insurance for Participants
As part of your participation in AYSO, the Organization purchases Soccer Accident Insurance ("SAI"), which pays
excess medical costs up to specified maximum per accident to an insured person for accidental bodily injuries incurred
as a direct result of participation in a covered activity subject to the policy terms, conditions and exclusions. This
coverage is secondary to your primary insurance. There is a deductible and percentage co-insurance for the plan.
Please refer to the attached Soccer Accident Insurance Brochure for a more detailed explanation of the plan.
Additional resources can be found at https://wiki.ayso.org/wiki/Soccer_Accident_Insurance.
Accident Medical Expense Benefits are only payable if a Claim Form is filed within 90 days of the date of injury.
Claim Forms are available at the link above and should be submitted to the carrier as stated on the form (in addition,
an Incident Report should also be filed with Region 92 immediately following an accident or injury).
All AYSO currently registered* members (players, coaches, managers, team workers, referees, officials and volunteer
workers) are "Covered Persons" for accidental bodily injury while participating in the following covered activities:
Team practice sessions, scheduled games, tournaments, or other sponsored activities (meetings, banquets, fundraisers)
provided they are under the direct supervision of an AYSO registered volunteer.