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 Contact Name
Club Contact Phone
Club Contact E-mail
Provide a detailed description of the activity
# of Swimmers Participating
# of Coaches Participating
Number of Chaperones/Volunteers Participating
Dates, if Applicable
Times, if Applicable
Event Facility Name
Will alcohol be served or available at this event?
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