| Contact Name * | | |
| Trading Name * | | |
| Date Established * | |
|
| Insurance Renewal Date * |  |
|
| Renewal Premium | | |
| Any Previous Claims * | | |
| If yes to above please show date of claim | |
|
| Claim Details | | |
| If yes to claims amount paid out by insurer | | |
| Precautions taken to avoid the claim occuring again | | |
| Telephone Number * | | |
| Fax Number | | |
| Contact Email * | | |
| Business Correspondence Address inc Postcode * | | |
| Business Address (site 1) including postcode * | | |
| Business Address (site 2) including postcode | | |
| Buildings Sum Insured in £s * | | |
| Machinery plant, props and all other contents in £s * | | |
| Business Interuption in £s * | | |
| Equipment - guns, paint pellets, safety gear etc in £s * | | |
| Computers and Other Electronic Equipment in £s * | | |
| Food & Drink Stock in £s * | | |
| Refrigerated Stock in £s * | | |
| Money Cover during business hours in £s * | | |
| Money Cover outside business hours locked in safe or strongroom in £s * | | |
| Money Cover not locked in safe or strongroom in £s * | | |
| Money in transit during business hours in £s * | | |
| Estimated annual cash carryings in the next 12 months * | | |
| Please provide details of any safe or strong room at proposers premises * | | |
| Public Liability Level of Cover Required * | | |
| Employers Liability (10 million) * | | |
| Number of Full or Part Time Manual Employees * | | |
| Manual Employees Wageroll £s * | | |
| Number of Full or Part Time Non Manual Employees * | | |
| Non Manual Employees Wageroll £s * | | |
| Total Wageroll £s * | | |
| Estimated annual Turnover just Paintball * | | |
| Estimated annual Turnover other Activities * | | |
| If you provide or arrange other activities please state what they are | | |
| Maximum Number of Marshalls on Site * | | |
| Security of Premises * | | |
| Security other please state * | | |
| Where is your stock / equipment stored * | | |
| What age limit applies at your site * | | |
| Do you allow persons to use their own paint guns * | | |
| If so do you inspect, examine and check them to ensure they are in good order * | | |
| Are pre game safety briefings given at ALL times * | | |
| Do ALL participants wear protective clothing, headgear and goggles * | | |
| Maximum number of players at any one time * | | |
| Do you have first Aid Facilities on site * | | |
| Please describe the type of terrain and how many acres on which you operate * | | |
| Details of safety arrangements in place to prevent unauthorised access to site * | | |
| Do you have a written safety statement * | | |
| Additional Information | | |
| How did you find us * | | |
