Sports Insurance Application

NOTE REGARDING YOUR Effective Date: Your coverage will be effective the day you complete the application AND make your payment. Coverage will not be effective until we have BOTH application and payment. Your coverage will expire on the date that your League expires. Please check with us to confirm the expiration date.

Example:

Date you complete the application and make payment: April 3, 2021

Date your coverage is effective: April 3, 2021

Date your League’s coverage was effective: March 15, 2021

Date League’s coverage expires (all teams): March 15, 2022

Your coverage will be effective April 3, 2021 and will expire March 15, 2022.

STADIUM INSURANCE DOES NOT APPLY TO "bodily injury" to any person while practicing for or participating in any sports or athletic contests or exhibition that you sponsor. In simple terms, injuries to players are not covered. This also includes, but not limited to, coaches, trainers or cheerleaders.

STADIUM INSURANCE DOES NOT COVER Clinics, Camps, Fundraising Events, Vendors/Exhibitors, any events for kids, etc. It only covers general liability for renting facilities for practices and games ONLY.

Every year each team must submit a new application and payment.

NOTE:

If you change leagues, your current coverage is not effective. Your coverage is only good for the league that you applied for. Should you change leagues, you will have to reapply under the new league and make full payment.

If you change your team name, you will have to reapply and make a full payment.

TEAM CONTACT INFORMATION

Name Insured/Organization *

The insured’s name (Named insured) should be the name of the organization or business, typically the name that would appear on any contracts or agreements.

Street *

City *

State *

ZIP / Postal Code *

First Name *

Last Name *

Primary Phone Number *

E-Mail Address *

Description of activity/event:

TEAM INFORMATION

Team Name *

League Name *

Number of Events

Effective Date *

Expiration Date

Concessions Sold

Alcohol Served *

Alcohol Sold *

ADDITIONAL INSURED INFORMATION

Name of Facilities that need to be listed as Additional Insured (address needed as well) Contact Facility for correct information. *

Do you need an Additional Insured ENDORSEMENT?

Yes
No

From the Additional Insureds that you listed above which one needs the AI ENDORSEMENT

Applicants Signature *

Date of completing application *

Submission Validation

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.