Equestrian Day Camp Supplemental Application Instructions

Check this box if campers have access to trampolines, climbing apparatuses, or other equipment.

Check this box if campers do not have access to trampolines, climbing apparatuses, or other equipment.

Provide details about campers’ access to trampolines, climbing apparatuses, or other equipment, including what is available and how it is used/supervised. Fill only if 'Yes' is 'Yes'.

Enter the annual gross revenue generated from equestrian day camp activities.

Describe any other source of revenue related to equestrian day camp activities.

Enter the annual gross revenue amount for the other revenue source described.

Enter the total annual gross revenue from equestrian day camp activities, including day camps and any other related revenue.

Enter the name of the applicant requesting coverage.

Enter the name of the broker submitting or handling this application.

Enter the associated policy, account, or reference number for this application.

Enter the quote number assigned to this submission, if available.

Enter the date on which the applicant wants the coverage to begin.

Enter the date the applicant signs this application.

Enter the full name of the insurance broker associated with this application.

Enter the date corresponding to the broker name entry.

Enter the date the broker signed the application.

Enter the broker's license number.

Enter the number of years you have operated or worked with equestrian day camps.

Enter the average fee charged for one camper to attend one day camp session.

Enter how many day camp sessions you run in a typical year.

Enter the typical length of a single day of camp for one session.

Enter the total duration of a full day camp session from start to finish (for example, number of days or weeks).

Enter the scheduled date(s) or date range(s) for all day camp sessions.

Enter the estimated number of day campers who will attend each camp session.

Enter the minimum age allowed for campers participating in the day camp.

Check this box if all day campers attending the camp are regular students in your lesson program.

Check this box if at least one day camper attending the camp is not a regular student in your lesson program.

If not all campers are regular students in your lesson program, provide an approximate number who are not and a brief explanation. Fill only if 'All day campers are regular students (No)' is 'Yes'.

Check this box if you ever fasten (tie) children to any part of the saddle, pony, or horse.

Check this box if you do not ever fasten (tie) children to any part of the saddle, pony, or horse.

Enter the ratio of counselors to day campers (e.g., number of campers per counselor).

Enter the minimum age of counselors working at the day camp.

Enter the average length of time counselors have worked for your operation.

Enter the minimum length of time any counselor has worked for your operation.

Enter the maximum length of time any counselor has worked for your operation.

Check this box if you permit early drop-off and/or late pick-up of campers.

Check this box if you do not permit early drop-off or late pick-up of campers.

Describe the timing and what supervision or activities are provided for campers who are dropped off early and/or picked up late. Fill only if 'Yes' is 'Yes'.

Enter a complete list of all equestrian-related activities offered at the day camp.

Check this box if liability waivers are signed by the parent/legal guardian for participants.

Check this box if liability waivers are not signed by the parent/legal guardian for participants.

Enter a list of all non-equestrian activities offered during the day camp.

Check this box if your day camp includes any off-premises activities.

Check this box if your day camp does not include any off-premises activities.

Describe any off-premises activities offered, including what they are and where they take place. Fill only if 'Yes' is 'Yes'.

Check this box if you operate your Equestrian Day Camp operations under another name.

Check this box if you do not operate your Equestrian Day Camp operations under another name.

Enter the alternate name (DBA/trade name) under which the equestrian day camp operation conducts business, if applicable. Fill only if 'Yes' is 'Yes'.

Check this box if you offer your Equestrian Day Camp operations in cooperation with other organizations.

Check this box if you do not offer your Equestrian Day Camp operations in cooperation with other organizations.

Provide the name of any other organization(s) you operate the equestrian day camp with and explain the nature of the cooperation. Fill only if 'Yes' is 'Yes'.

Check this box if you do offer overnight camps.

Check this box if you do not offer overnight camps.

Check this box if all riding activities are conducted in an enclosed area.

Check this box if any riding activities are not conducted in an enclosed area.

Check this box if the enclosed riding area used is a round pen. Fill only if 'Enclosed area for all riding activities: Yes' is 'Yes'.

Check this box if the enclosed riding area used is a small arena. Fill only if 'Enclosed area for all riding activities: Yes' is 'Yes'.

Check this box if the enclosed riding area used is a small paddock that is less than 1/2 acre. Fill only if 'Enclosed area for all riding activities: Yes' is 'Yes'.

Check this box if the enclosed riding area is a different type than the listed options and specify it in the provided space. Fill only if 'Enclosed area for all riding activities: Yes' is 'Yes'.

Enter the type of enclosure used for riding activities if it is not one of the listed options. Fill only if 'Enclosed area for all riding activities: Yes', 'Type of enclosure: Other' is 'Yes' for all.

Check this box if safety helmets are mandatory for your equestrian day camp activities.

Check this box if safety helmets are not mandatory for your equestrian day camp activities.

Describe any other safety procedures your operation uses in addition to safety helmets.