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DisplayTitle
Youth Sports Camps & Clinics
Applications & Printable Documents
Phone
PhoneNumber
1-800-426-2889
Fax
FaxNumber
1-260-459-5105
Claims
ClaimNumber
1-800-237-2917
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! After opening the appropriate .pdf document in Adobe Acrobat, simply place your cursor on the line you need to fill in and begin typing. Once you have completed the application, you may print the form out and fax it back to the number located on the application. If you have Adobe Acrobat Writer, you will be able to save the document to your computer and attach it to an email. If you do not have the software to open .pdf files, you can
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Individual Applications
Youth Sports Camp & Sports Clinic Insurance Program and Enrollment Form
1032 (2/24) Youth Sports Camp & Sports Clinic Insurance Program and Enrollment Form
Effective Dates 3/1/2024 through 2/28/2025
Youth Camp and Clinic Supplemental Request Form
1396 (2/24) Youth Camp and Clinic Supplemental Request Form - Use this form if you need to add additional coverage
or add additional campers to existing coverage.
For AIG policy effective dates 3/1/24 and after
Certificate of Insurance Request Form
1457 (3/24) Amateur Sports Certificate of Insurance Request Form
Sexual Misconduct Liability Coverage Request Supplemental Questionnaire
2312 (3/24) Sexual Misconduct Liability Coverage Request Supplemental Questionnaire
Youth Camp and Clinic Supplemental Request Form
2313 (2/24) Youth Camp and Clinic Supplemental Request Form- Use this form if you need to add
additional coverage for add additional campers to existing coverage.
For Nationwide policy effective dates from 3/1/23 - 2/29/24
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