TCYBS Incident Report

Instructions

Please use this form to file a report for any incident that occurs during any scheduled TCYBS games. Please also call the TCYBS President @ 330-898-3226 and leave a brief message recapping the incident.
Give as many details as possible, including names, player or umpire number(s), conditions and any other factors that will be needed to facilitate making a decision. Please indicate if any emergency services were required/called, i.e. EMS, police, etc.
If the incident resulted in an ejection, enter the person's name, team affiliation and whether he/she was a manager, coach, or player.
The form will not be submitted until all required fields are entered. When "Submit" is selected, captions of required fields not entered are changed to a red bold font to identify the missing information. Required fields are maked with an *.
The information entered on this form is emailed to the President of TCYBS.

Incident Detail

* Date Of Incident:		Time:
* Location:		* Class:
Umpire Name - Plate:		Base:
* Home Team:		Manager:
* Visiting Team:		Manager:
Ejected Person's Name:		Team:
Ejected Person Was:	Manager Coach Player Other (specify:)
* Emergency Service Called:	None Police Fire/EMS Other (specify:)
* Incident Description:
* Name (Reporting Person):		* Phone:
* Email (Reporting Person):
* Digital Signature:	By checking this box, you acknowledge that this is a digital signature, equivalent to a signature on paper.