Event Insurance Request Form: Swim Alberta Association
This form is only used if an event falls outside the scope of the
Swim Alberta Event Sanctioning Policy
.
Club Name
Club Contact Name
Club Contact Phone
Club Contact E-mail
Event Information
Provide a detailed description of the activity.
Number of Swimmers Participating
Number of Coaches Participating
Number of Chaperones/Volunteers Participating
Dates of Event
Times, if Applicable
Will alcohol or cannabis be served or available at this event?
Please select...
Yes
No
Is a Certificate of Insurance Required?
Yes
No
Facility Information
Event Facility Name
Address
City
Province
Country
If the specific wording is required, enter it here. Please note that Canadian insurance verbiage is different than in the US.
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