ONLINE INSURANCE APPLICATIONS
MIC Insurance Brokerage is currently building a
library of on-line application forms. If you require
a form that is not listed below or if you don't know
which form you need, please do not hesitate to call
us at 630-428-4062.
Please download and complete the following insurance
application forms. Once you have completed the form,
fax it to us at (630) 428-4072.
Family
Entertainment Insurance Application
Gymnastics
Insurance Application (may be returned
via fax or mail)
Gymnastics
Insurance Application (may be returned
via email)
Paintball
Insurance Application
Sports
Insurance Application (excludes gymnastics)
Sample
Waiver of Liability
American
Amateur Sports Association (AASA) Membership Application
The AASA promotes athletics to the youth of America
and provides a source of reference and guidance to
those who also espouse this same purpose. AASA promotes
family participation in youth athletics as well as
the moral and ethical lessons that can be taught through
athletic games.
Accident Medical Coverage Forms
Participant
Accident Insurance (PAI) Brochure
Sports
Accident Form
Camps
Accident Form
Groups
& Clubs Accident Form
Sports
Accident Rate
Camps
Accident Rate
Groups
& Clubs Accident Rate
For additional insurance forms or if you have any questions,
please call us at (630) 428-4062.
|
