Batting Cage Insurance Questionnaire

Batting Cage Insurance Questionnaire
Applicant's Name:*
Address:*
Mailing Address
Address (cont):*
Mailing Address - continued
Contact:*
Email*
Telephone:*
Website
Fax:
Applicant is:

IndividualPartnershipCorporationOther (specify)Other
Current Carrier:
Expiration Date:
Limits: ($)
Premium: ($)
Deductible: ($)
GENERAL INFORMATION
1. Describe your operations including a complete list of activities. Please attach a flier if available.
2. Please list locations and buildings at each location (List additional locations on separate page)
Location 1: Address and number of buildings
Location 2: Address and number of buildings
3. Do you require participants/members (or parents of minors) to sign an injury waiver? (Please provide a copy.)

YesNo
4. What equipment do you provide?
5. Number of batting cages:
5a. Is there ever more than 1 player and 1 coach in a cage at a time?

YesNo
6. Who owns the cage(s)?
7. Who maintains the cage(s)?
8. Is a pitching machine used?

YesNo
8a. If yes, who sets the pitch speed?

	Yes	No
One person in the batting cage at a time (i.e. Batter only)
Helmets must be worn
Batting cage must be self-contained and fully enclosed on all sides and on top
Rules of the cage must be posted (Please provide picture of sign.)
Maximum speed of machine: 80 mph

	Yes	No
4a. Abuse and Molestation?
4b. How to recognize the signs of abuse?
4c. What to do if an individual reports someone molested him/her?

	Yes	No
1a. On prospective employees and volunteers?
1b. On existing employees and volunteers?