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, 2019
Date
your coverage is
effective:
April 3, 2019
Date
your League’s coverage was
effective:
March 15, 2019
Date
League’s coverage expires (all teams):
March 15, 2020
Your coverage will be
effective April 3, 2019 and will expire March 15, 2020.
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
Required
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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
Required
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| City
Required
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| State
Required
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| ZIP / Postal Code
Required
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| First Name
Required
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| Last Name
Required
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| Primary Phone Number
Required
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| E-Mail Address
Required
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| Description of activity/event:
Optional
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| TEAM INFORMATION |
| Team Name
Required
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| League Name
Required
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| Number of Events
Optional
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| Effective Date
Required
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| Expiration Date
Optional
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| Concessions Sold
Optional
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| Alcohol Served
Required
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| Alcohol Sold
Required
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| ADDITIONAL INSURED INFORMATION |
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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.
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| Name of Additional Insured (address needed as well) Contact Facility for correct information.
Required
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| Applicants Signature
Required
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| Date of completing application
Required
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STADIUM INSURANCE DOES NOT COVER...Clinics, Camps, Half-time Spectator Events, Fundraising Events,
Vendors/Exhibitors, Or any events for kids.
It only provides general liability to rent facilities for practices and/or games. |
Submission Validation Required |
Enter the Validation Code from above.
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Important NoticeAny
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.
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