Combat Sports Website Enquiry

  • Combat Sports Quote Form

  • PLEASE NOTE THAT WE CAN ONLY PROVIDE INSURANCE FOR AUSTRALIAN BASED COMPANIES. 

  • Format: 0000 000 000.
  • Where Did You Hear About Us?

  • Combat Sports Quote Form

    When would you like to start your insurance period?
  •  - -
  •  - -

  • Combat Sports Quote Form

  • Limit of Indemnity

  • Do you require Public Liability?*
  • Amount Required
  • Do you require Professional Indemnity?
  • Amount Required

  • Combat Sports Quote Form

    What disciplines does your gym practice?

  • Sports / Activities

    What disciplines does your gym practice?
  • Mixed Martial Arts (MMA)
  • Please choose which applies most:
  • Rows
  • Boxing
  • Please choose which applies most:
  • Wrestling
  • Please Choose which applies most:
  • Muay Thai
  • Please Choose which applies most:
  • Karate
  • Please Choose which applies most:
  • Jujitsu
  • Please Choose which applies most:
  • Brazilian Jujitsu
  • Please Choose which applies most:
  • Kickboxing
  • Please Choose which applies most:
  • Other
  • Rows
  • Are all participants required to sign a waiver prior to engaging in physical activities
  • Is there an impact to the head?
  • Are you accredited by an industry body?
  • Do you use weapons?
  • Do you provide services online?

  • Combat Sports Quote Form

  • How many locations do you have?*
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  • Combat Sports Quote Form

  • Player Accident Insurance

  • Do you require Player Accident Insurance?*
  • Cover Required
  • Is there any accident cover currently in place?

  • Combat Sports Quote Form

  • Events

  • Do you host any events?
  • Do you manufacture goods?
  • Do you hire out any of your equipment?
  • Do you have a liquor licence?
  • Do you sell goods to the public?
  • Do you provide fresh food and beverages?
  • Has the club entered into any Contractual Agreements?
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  • Is there company policy in place for members and workers in regards to:

  • Pregnancy Policy?
  • Blood Spillage Policy?
  • Infections Diseases Policy?
  • Discrimination Policy?
  • Risk Management Policy?
  • Has any member of staff completed a risk management course?

  • Combat Sports Quote Form

  • Claims

  • Have you had any significant claims in the last 5 years?*
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  • Combat Sports Quote Form

  • Declaration

  • I have been truthful and accurate in completing this form and declaration and have not withheld any information likely to affect the terms or the acceptance of this insurance by the Insurer?*
  • I have completed this form personally or, if it has been completed on my behalf, have checked that the questions have been fully and accurately answered?*

  • If there is more than one Insured and all have not signed this application, I acknowledge that I am authorised to sign for and on behalf of the other Insured(s).

    Upon acceptance of this Proposal, the terms and conditions of this insurance will be in accordance with this Proposal /Questionnaire, the Product Disclosure Statement, the Schedule and any other document we tell you forms part of your Policy;

    If an event occurs during the Period of Insurance which alters any of the information provided in the Proposal, I will promptly notify details of the event to the Insurer;

    If I have not complied with the Duty of Disclosure and/or Duty of Utmost Good Faith, a claim made under the Policy may not be met or only met in part.

  • Do you agree?*
  • Should be Empty: