Certificate of Insurance Request Form: Swim Alberta Association

LloydSadd Brokers
This form is only used if a facility requests to be named on the Certificate of Insurance.
Please allow three weeks prior to your event for processing time.  Thank you.
Club Information:
Details of Event (What are you doing?  Where are you going?  Who's attending?)
Requesting Facility Information
A scan of your contract MUST be included with this form.