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Your Name (required)

Name of Insured (required)

Is the Insured a: (required)

Your Address and Postcode (required)

Email Address (required)

Contact Number (required)

You are an: (required)

Type of Event: (required)

Description of Event (required)

Does Your Event Have a Website? if so please provide the web address

Event Name (required)

Start Date of Event (required)

Finish Date of Event (required)

Name of Venue (required)

Address and Postcode of Event (required)

Maximum Attendance Throughout Entire Duration of Event (required)

Are you a professional event orgraniser (required)

Your turnover for this event is:

UK Based Event (required)
YesNo

Is the event being held in Northern Ireland (required)
YesNo

Where will the event be held (required)
IndoorsOutdoors

Public Liability Cover (required)
Not required£1 million£2 million£5 million£10 million£15 million£20 million£20 million +

Employers Liability Cover (required)
YesNot required

Number of paid employees and unpaid volunteers & assistants (required)

Is property cover required? (required)
YesNo

Property cover sum to be insured £

Is cancellation cover required?
YesNo

Cancellation cover sum to be insured £

Do All Independent Outside Contractors and Stallholders hold their own Liability Insurance?
YesNo

Our definition of dangerous or hazardous activities or substances is:- sports, swimming, hiking, rambling, pyrotechnics, fire juggling, fireworks and bonfire displays, inflatable play equipment, fairground, mechanical or electric rides of any kind, ballooning or flying of any description including trapeze, high wire or aerial work, quad bikes, go karts or motor sports of any kind, trampolines, acrobatic dancing, gymnastic apparatus or any apparatus requiring the use of any safety harness or ropes to prevent or arrest falls from height, circus acts or stunt acts, animal turns, persons riding on animals, firearms, shooting ranges from guns or archery, pyrotechnics, pyrotechnical devices, toxic chemicals, gas, asbestos, radioactive substances or any other materials giving rise to dust fumes or vapours.

Does the event involve any dangerous or hazardous activities or substances?
YesNo

If 'Yes' please provide details

Whilst organising or participating in an event, are you, any official, committee member or co-organiser, aware of any incidents or claims whether insured or not within the last 5 years?
YesNo

Notes and additional information

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