Camps Insurance Application - Chappell Insurance Agency

Fill your apps out Online! 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 download Adobe Acrobat Reader for free.

	Individual Applications

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

Youth Day Camps Brochure and Application

1040 (2/24) Youth Day Camps Brochure and Application Use this application for effective dates from 3/1/2024 through 2/28/2025