Camp Questionnaire

Basic Information

Camp Address

If there is more than one location, please include a list of additional locations.

If you answer to the preceding questions was YES, please provide the name of the insurance company, a schedule of coverages, benefits and limits, and the premium and claims paid for the past three camp seasons. This additional information can be forwarded to our office by either fax or e-mail for the most prompt response, or by regular mail.

If the camp involves sports, please list them here. Sport, Estimated Campers per Sport and Per week, Age range of Campers.

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