Camps and Clinics Application
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Only one (1) application is needed per policy year. Any additions or audits must be submitted via the Audit Form below. Otherwise, dates may not be properly added to your policy and you pay more than one minimum premium.
- Recover verification of coverage documents to print Audit Form
Start The Application
This program has been designed for U.S. - based youth sports camp operations (those attended by campers age 19 & under) or sports clinics that are held at premises not owned or maintained by the sport camp operator. Coverage provided under this program includes important liability protection for the camp or clinic operator, including employees and volunteers, for liability claims arising out of its operations. In addition, the program provides medical payments coverage to the camp or clinic participants. Coverage is provided on an annual basis, but only applies to those camp/clinic sessions that are specifically reported. Coverage is provided by a carrier rated A+ (Superior) by A.M. Best Company.
In addition, I agree that I have reviewed the Detailed Coverage Description that can be found at https://www.sadlersports.com/wp-content/uploads/Amateur-Sports-Camps-and-Clinics-2019-2020.pdf.
Completion of this enrollment form confirms your desire to obtain insurance through the Sports, Leisure and Entertainment Risk Purchasing Group (RPG). An RPG provides group purchasing power for similar risks resulting in potential advantageous coverage terms, competitive rates, risk management bulletins, and rewards for favorable group loss experience. An RPG membership fee may be charged. The submission of this enrollment form and/or acceptance of payment does not guarantee coverage. Certain operations are not eligible for coverage by this program. We reserve the right to decline any request for coverage.
I agree to the following:
Application for this plan may be made until 02-28-2021. After this date, new applications will be subject to changes in rates and coverages.
The submission of this enrollment form does not guarantee coverage. Coverage is contingent upon receipt, review and approval of the camp registration brochure. Coverage begins on the first day of the camp/clinic or on the date the enrollment form is received and approved concurrent with the payment of the entire premium, whichever date is later. The expiration date is one full year from the effective date. However, coverage for participants applies only to those camp/clinic sessions specifically reported to Sadler & Company. Those dates should be reported prior to the actual event date to avoid problems in the event of a claim. The carrier reserves the right to decline any request for coverage.
It is MANDATORY that you send a copy of your camp brochure within two(2) days of this online enrollment to Sadler & Company via fax to (803) 256-4017 or via email to firstname.lastname@example.org under the section Service for Current Clients. Failure to comply may result in your coverage being voided. Once we have received your camp brochure, and have verified that your camp is eligible for coverage we will release your certificate of insurance. Please note, if you placed your coverage with us last year, we must have your audit report and rosters on file or we will not be able to release your certificates.
An audit form can be printed from our website at www.sadlersports.com/camps under the section Service for Current Clients. A COMPLETED AUDIT FORM WITH ROSTERS, AND ANY ADDITIONAL PREMIUM IS DUE WITHIN 30 DAYS OF THE LAST DAY OF THE CAMP. (NOTE: Renewal coverage may not be available if the audit is not submitted on time.)
The premium computation section must be completed as applicable. Please note that all rates are per participant per camp. Coverage applies for the specific dates reported on the online enrollment.
If adding new camps throughout your policy year, please notify Sadler & Company prior to participation. The request form to add camps can be printed from our website at www.sadlersports.com/camps under the section Service for Current Clients.
The minimum earned premium is $240 per enrollment form if the $25,000 Medical Payments for Participants limit is chosen. If the $250,000 Medical Payments for Participants Limit is chosen, the minimum earned premium is $360 per enrollment form. If the total calculated premium is less than the minimum earned premium, the premium due is the minimum premium. Premium is fully earned at inception and non-refundable.
ADDING ADDITIONAL DATES OR CAMPS
Changes should be made in writing prior to the camp date or the first day of camp. If you need to add additional dates, you should inform us of the new dates in writing and forward additional premium for those dates prior to the first day of that camp. The request form to add camps can be printed from our website at www.sadlersports.com/camps under the section Service for Current Clients. These can be faxed to us at (803) 256-4017 or emailed to: email@example.com.
CAMP/CLINIC DATE CHANGES
Changes must be made, in writing, prior to the camp date or the first day of camp. Please use the form provided with your proof of coverage. These requests can be faxed to us at (803) 256-4017 or emailed to: firstname.lastname@example.org.
Changes MUST be reported prior to the scheduled start date or the or the first day of the camp session, and confirmed in writing prior to the scheduled start date or the first day of the camp session for a refund or credit to be considered. Any requests for refunds, due to cancellations, received after this date will not be honored. Refunds may be subject to a cancellation penalty of $120 for Option 1 or $180 for Option 2. These requests can be faxed to us at (803) 256-4017 or emailed to: email@example.com.
Camps or clinics offering the following operations or instruction based on any of the following sport categories are not eligible for this insurance program. Please note, this is not a complete listing of ineligible sports. *Please contact us for more information.
- After school/day care/latch key programs
- All star/bowl games *
- Hunting and/or nature camps/programs*
- Pro-sport try-out and training camps
- Pop Warner Little Scholars Football or Cheer Camp/Clinics
- Recruiting Camps, showcases or combines*
- Sports camps/clinic operators who own their own facility
- Weight loss camps/programs
- Box Lacrosse
- Martial Arts (Dim mak, Haganah, Kali/escrima, Mixed Martial Arts (Ultimate/extreme/cage fighting), Savate, Sayoc kali, Thai boxing/muay thai)
- Open Water Activities/Events
- Skiing (snow or water)
- Cycling or BMX
The following exclusions are contained in the commercial general liability coverage you are purchasing. Abuse, molestation, harassment or sexual conduct (unless optional liability coverage is purchased); Aircraft/hot air balloon; Airport; Amusement devices (the ownership, operation, maintenance or use of: any mechanical or non-mechanical ride, slide, or water slide, any inflatable recreational device, any bungee operation or equipment, any vertical device or equipment used for climbing-either permanently affixed or temporarily erected, or dunk tank. Amusement devices do not include any video or computer games or any device that is specifically designed for the training or instruction of the activity for which you are enrolled.); Ancillary activities/trips held away from the reported camp/clinic location unless supervised, approved and on file with the company; Animals (injury or death to, or injury, death or property damage caused by any animal owned, rented or hired by you); Asbestos; Commercial general liability standard exclusions (CG0001 04/13 edition); Cryogenic Chambers / Therapy; Employment-related practices; Fireworks, Fungi or bacteria; Haunted attractions; Lead; Nuclear energy liability; Operation, maintenance or management of any athletic facility or field, other than while being used for covered activities; Performers; Rodeos; Saddle animals; Snowmobile; Transportation of participants; Violation of statutes that govern emails, faxes, phone calls or other methods of sending materials or information. Those operations listed as ineligible: After school, day care and latch key programs; All star/bowl games; Hunting and/or Nature Camps/Programs; Pro-sport tryout and training camps; Recruiting camps, showcases or combines; Sports camp/clinic operators who own their own or maintain facility; Weight loss camps/programs; Sports camps/clinics offering instruction of: Adventure races, Bandy, Biathlon, Bobsled, Body boarding, Boxing, Box lacrosse, BMX or stunt cycling, Broomball, Canoeing, Climbing, Cycling, Diving, Dodgeball, Equestrian, Hang gliding, Hammer throw, Highland games, Hostelling, Hurling, Inline (extreme, aggressive, freestyle) skating, Inline Stunt performing, Jai alai, Javelin, Karate, Kayaking, Kite surfing, Luge (street), Marathon, Martial arts (Dim mak, Haganah, Kali/escrima, Mixed Martial Arts (Ultimate/extreme/cage fighting), Savate, Sayoc kali, Thai boxing/muay thai), Mixed martial arts, Modern pentathlon, Mountain biking and/or hiking, Mountain boarding, Open water activities/events, Open water fishing, Orienteering, Outrigging, Parachute, Parasailing, Polo (horse), Rafting, Rodeo, Roller derby, Rowing/Crew, Rugby, Sailing, Scuba diving, Shooting sports/events, Skateboarding, Skiing (snow or water), Sky diving, Sky surfing, Sled/Crew dog racing, Snorkeling, Snowboarding/snow surfing, Speed / Racing Skating (ice); Sports parachuting, Streetball, Surfing (including boogie boards), Tae Kwon Do, Trapeze, Takraw, Trampoline, Triathlon, Unicycling, Wake boarding, Wind surfing, Wrestling (Roman/Greco), Yachting.
I agree that I have reviewed the complete coverage description including coverage exclusions found here. Note to all agents and brokers - There are no commissions included in this program. Proof of coverage will be sent directly to the insured organization and will not be sent to an agent.
Applicable in AL- Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof.
Applicable in AR, LA, MD, RI and WV – Any person who knowingly (or willfully)* presents a false or fraudulent claim for payment of a loss or benefit or knowingly (or willfully)* presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. *Applies in MD Only.
Applicable in CO – It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.
Applicable in DC - It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant.
Applicable in FL – Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.
Applicable in KY – Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.
Applicable in ME, TN and WA – It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties (may)* include imprisonment, fines and denial of insurance benefits. *Applies in ME Only.
Applicable in MN – Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties.
Applicable in NJ – Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties.
Applicable in NY - Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.
Applicable in OH - Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.
Applicable in OK - WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty off a felony.
Applicable PA - Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.
Applicable in OR – Any person who knowingly and with intent to defraud or solicit another to defraud the insurer by submitting an application containing a false statement as to any material fact may be violating state law.
Applicable in VA - It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of benefits.
I understand that the insurance company, in determining whether to provide insurance coverage, will rely on the information contained in this form and all other information being submitted. I hereby warrant, represent and confirm that, to the best of my knowledge, all information provided is complete, true and accurate.
I am aware that the insurance company expects accurate reporting for my premium calculation. I understand that my books and records may be examined or audited by the insurance company at any time during the coverage period and up to three years thereafter. Intentional misrepresentation or misreporting may jeopardize coverage.
I further acknowledge that I have reviewed all information provided with this enrollment form and understand the exclusions that apply, as well as the activities and operations for which coverage is not provided.
I understand that this online enrollment provides the option for the organization to select General Liability/Medical Payments, Sexual Abuse & Molestation. However, Sadler offers other types of insurance policies that are not available on this online enrollment such as Workers' Compensation, Excess Liability, Property (building and contents), Event Cancellation, Cyber Risk, Business Auto, Professional Liability, etc. If I am interested in a quote for these other types of policies, I will need to inform Sadler in writing, firstname.lastname@example.org.
Coverage is contingent upon receipt of premium payment. No coverage will be deemed in effect until premium is received by the company or their representative.
I understand that I will only receive electronic copies of insurance documents and will not receive paper copies.
I understand that the files contained in my proof of coverage email are important documents. Once these documents are received, I will review and make sure the documents contain the coverages requested and further agree to notify Sadler & Co., Inc. if the documents have any mistakes in coverages and/or limits. I am aware that because this coverage is written on a master policy, only the certificate of insurance and the verification of coverage will be provided. However, a copy of the master policy is available at any time by emailing a request to email@example.com.
If I do not get email containing my proof of coverage documents within 24 hours, I will follow-up with Sadler & Company immediately.
I acknowledge that my address below is correct and will update Sadler & Co., Inc. of any changes to this email in the future. I grant permission to Sadler & Co., Inc. to utilize this email address to send all documents electronically, including but not limited to, certificates of insurance, verification of coverage, underwriting questions, coverage changes, quarterly newsletters and important messages.
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