The League for Clubs Certificate of Insurance

The League for Clubs Certificate of Insurance

Certificate of Insurance
*all fields must be completed

Do not use abbreviations.

Previously approved Certificate of Insurance (COI) forms are currently voided.

This COI form will only go into effect for the 2026 summer with paid player registrations for the 2026 the league season.
Venue Information
Facility Name*
Address:*

Street Address

CityState / Province

Postal / Zip Code
Primary Contact*
Title/Official Role/Position*
Primary Phone Number*
Format: (000) 000-0000.
Primary E-mail Address*
example@example.com
Venue Owner Information
Facility Owner Name*
Address:*

Street Address

CityState / Province

Postal / Zip Code
Primary Phone Number*
Format: (000) 000-0000.
Primary E-mail Address*
example@example.com
The League for Clubs Team Information
Team Name*
Address:*

Street Address

CityState / Province

Postal / Zip Code
Primary Contact*
Title/Official Role/Position*
Primary Phone Number*
Format: (000) 000-0000.
Primary E-mail Address*
example@example.com
Add additionally insured information here if needed:
Should be Empty: