Insurance for Health Clubs, Gyms and Spas

-Complete the Form Below for Your Free Proposal-
Type of Organization   More Than 1 Location? 
Name of Your HealthClub  
Physical Address  
City   ST Zip
Contact Person  
Email Address  
Desired Effective Date  
Phone Number   Fax Number
Years in Business  
Annual Gross Revenue   Please Estimate if New
Tanning Bed Receipts   If Applicable
Snack Bar Receipts   If Applicable
Number of Active Members   Please Estimate if New
Number of Full Time Employees    Part Time Employees
List any certifications employees have obtained  
Are you a member of IHRSA?  

Specify yes or no to the following exposures & indicate numbers

Number
 Swimming Pool

 Water Slides
 Trampoline
 Handball Court
 Basketball Court
 Sauna Room
 Steam Room
 Gymnastics

 Suntanning

 Tennis Courts
 Racquetball
 Rock Climbing
 Free Weights
 Machines
 Karate Classes Held
If Karate Classes Held, Indicate:  Non-Contact   Light Contact  Full Contact
Is there a Clothing Store on Premises?

 
Sporting or Social Events Sponsored?

 
Do you dispense vitamins or diet supplements?

 
Are restrooms and showers cleaned daily?

 
Do you allow children under 13 to use the club?

 
Do you have handicapped access?

 
Do you have a central alarm system?

 
Are lockers connected or bolted to wall or floor?

 
Does the Club have a Swimming Pool?

 
Does the Club have a Nursery for Children?

 

-Answer ALL of the Following if Property Coverage is Wanted-
Age of Building    Sprinkler System
Own or Rent the Building?  
Occupied Square Feet    Number of Stories
Total Square Footage of Bldg.   Fire Station Distance
Type of Construction  
Distance From Coastal Waters   Miles
Building Value   List to insure the building
Contents Value  

For Contents Value Above: Indicate amount it would take to completely replace everything in your business in the event of a catastrophe.
Deductible Desired for Property  
Current Insurance Company (put NONE if not insured))  
Give information about any claims the club has had in the past 3 years...including amounts paid.  Describe any claim over 2,500 in detail.  

 
 
   

Turner & Hamrick, LLC   P.O. Box 985  Troy, AL 36081

440 U.S. Hwy 231  Troy, Alabama 36081

Phone: (334) 566-7665   Fax: (334) 566-7215