Step 1 of 250%DetailsInsured NameContact NameAddressSuburb/TownStateACTNSWNTQLDSATASVICWAPostcodeEmail TelephoneEstimated Annual TurnoverActivities Undertaken (Paintball, Laser Skirmish etc)EventPhysical Location(s)Do you sell any goods/equipment? Yes NoIf yes, please provide detailsHow many years have you been in business?What are your normal operating hours?How many weeks of the year would you trade, on average?Public Liability Limit of Indemnity required?Choose one...$5m$10m$20mPlease provide a description of the playing area: (Include size, type of land and distance to nearest neighbour)Are there any other tenants on the land you occupy? Yes NoIf yes, please provide detailsMinimum age of participantsRisk ManagementDo you have first aid available and will there be staff with first aid qualifications on site at all times? Yes NoDo you keep and maintain an incident reporting system? Yes NoDo you carry out some form of risk assessment on the playing area? Yes NoDo you inspect the land at least once a day for hazards? Yes NoDo you carry activity briefings for all participants? Yes NoMust all participants sign a disclaimer/waiver? Yes NoAre all participants provided with the relevant safety equipment? Ye NoOther information not included aboveDo you have a liquor licence? Yes NoAre participants allowed to bring their own alcohol and consume it at the premises? Yes NoDo you provide food for participants? Yes NoWhat is the average number of participants per week?What is your anticipated turnover for the next 12 months?Do you own and operate any unregistered motor vehicles in connection with the business? Yes NoDo you offer overnight accommodation to participants? Yes NoIf yes, please provide detailsHave you had any claims in the last 5 years? Yes NoDate of lossDescriptionAmount paidAny additional information that might assist us* I confirm that the details I have entered are correct
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