IMPORTANT NOTICE

1. This Sports League insurance quote request applies only to the states of Oregon and Washington. Do not fill out this form if your league is not in Oregon or Washington.

2. No insurance will be started by submitting this form. Coverage may be placed in force only after you decide to purchase it from us, and then after you complete the insurance application and pay the premium.

3. Submitting the following quote request constitutes your agreement with the above statements. We will contact you within two business days after we receive your request. If you have questions concerning this notice or about the following form, please call us at 503-620-0230 or 1-888-620-0230.

Youth Sports League Insurance Quote Request
  1. Name to be insured
    Invalid Input
  2. Name of league or organization, if different
    Invalid Input
  3. Name of any league or organization you are a member of
    Invalid Input
  4. Mailing address
    Invalid Input
  5. City
    Invalid Input
  6. State
    Invalid Input
  7. Zip Code
    Invalid Input
  8. Contact name - full name please
    Invalid Input
  9. Position in league or organization
    Invalid Input
  10. Phone Number
    Invalid Input
  11. Email
    Invalid Input
  12. Website
    Invalid Input
  13. Fax Number
    Invalid Input
  14. Date coverage to be effective
    Invalid Input
  15. Is there player compensation or prize money awarded?
    Invalid Input
  16. Are you a school sanctioned sports league?
    Invalid Input
  17. Are you a gymnastics, martial arts, cheer or dance studio?
    Invalid Input
  18. Are you a municipality or park and recreation program?
    Invalid Input
  19. Do you hold activities on private residential property?
    Invalid Input
  20. Do you own, operate or maintain any pools?
    Invalid Input
  21. Do you own, operate or maintain any sports facilities or fields?
    Invalid Input
  22. Describe what sport this insurance is for
    Invalid Input
  23. Number of participants age 12 and under
    Invalid Input
  24. Number of participants age 13 to 15
    Invalid Input
  25. Number of participants age 16 to 19
    Invalid Input
  26. Number of participants age 20 and above
    Invalid Input
  27. Coverages desired
    Invalid Input
  28. Do you host tournaments which include participants ourside of your league?
    Invalid Input
  29. Names of additional insureds or certificate holders
    Invalid Input
  30. Do you want crime or dishonesty coverage?
    Invalid Input
  31. Do you want equipment coverage?
    Invalid Input
  32. Do you want directors' and officers' coverage?
    Invalid Input
  33. Additional information or comments
    Invalid Input
  34. Re-type the Security Field numbers in the box.
  35. Security Field
    Security Field The Security code you typed did not match. Please click "Refresh" and try again.
  36. To keep a copy of this form, please Print before Submitting
  37.   

 

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Questions?

If you have questions concerning this information, please call us at 503-620-0230, or come in.

Llámenos ya al 503-620-0230.