Ice Skating Rinks | Roller Skating Rinks | Pro Shops | Concessions
GENERAL INFORMATION
3. Please list locations and buildings at each location (List additional locations on separate page)
OPERATIONS
SPORT FACILITIES
MEDICAL ASSISTANCE
SEXUAL ABUSE - (If located in Illinois, this section MUST be completed. If located in other states, complete only if you desire coverage.)
LEAGUES
CLUBS
TOURNAMENTS
RACES
CAMPS
CAMP OPERATIONS
STAFFING
CAMP TRAVEL
OVERNIGHT CAMPS
PROPERTY INSURANCE
OPTIONAL PROPERTY COVERAGES
COMMERCIAL CRIME
COMMERCIAL AUTOMOBILE INSURANCE
COMMERCIAL UMBRELLA
DIRECTORS & OFFICERS LIABILITY AND WORKERS' COMPENSATION INSURANCE
SIGNATURE
The information I have provided is true and accurate to the best of my knowledge. I have not willfully concealed or misrepresented any material fact(s) or information. I understand completion of this questionnaire does not compel the company to provide coverage.
Questions? 877-244-9090Kevin Morency | kmorency@morencyinsurance.com Morency & Associates Inc.141 New Shackle Island Rd, Hendersonville, TN 37075Fax: 615-452-6580https://familyfuninsurance.com/