Facility Insurance Request Form

-- This form is for new facilities you may have added since last season.
-- All facilities from last season will be automatically renewed and emailed to the club director around September.
-- If more than 3 new facilities are needed use a new form.
-- If your facility requires special wording or additional information on the insurance certificate, please contact Colleen Platt (colleen@iavbreg.org) directly.

    Club Information

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    Facility # 1

    Facility Information

    Certificates for all previously used facilities will be automatically renewed and emailed to the club director. Use this form for any NEW facilities.
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    Facility # 2

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    Facility # 3

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