AXE THROWING

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Email
example@example.com
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Current Carrier Information:
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Limit of Insurance:
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Deductible:
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Premium:
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Offering renewal?
Yes
No
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Claims made?
Yes
No
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Retroactive date:
Date
Year
Month
Day
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What are your operations? Check all that apply:
Operation of Axe Throwing Lanes – Indoors – No Food or Drink
Operation of Axe Throwing Lanes – Outdoors – No Food or Drink
Operation/Rental of Mobile Axe Throwing Lanes
Operation of Axe Throwing Lanes – Indoors – With Food Service (no Alcoholic Beverages)
Operation of Axe Throwing Lanes – Outdoors – With Food Service (no Alcoholic Beverages)
Operation of Axe Throwing Lanes – Indoors – Including Alcoholic Beverages
Operation of Axe Throwing Lanes – Outdoors – Including Alcoholic Beverages
Hosting or Sponsorship of Axe Throwing Competitions/Sporting Events
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What are your projected receipts for the coming year?
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What is the approximate number of participants you will have this coming year?
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Is your operation compliant with any recognized standards (NATF, WATL, etc.)?
Yes
No
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If Yes, list regulations/memberships.
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Ok
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Does your operation have any age restrictions?
Yes
No
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If Yes, what age?
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How many lanes does your operations have? Indicate indoor and outdoor if you are operating both:
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What is the maximum distance axes are thrown?
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How are throwing lanes separated from each other and from spectators? Please describe your lane construction:
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Ok
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Are written rules prominently displayed and reviewed with all participants before
Yes
No
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Please provide a copy of your rules.
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Do you have supervisors present at all times?
Yes
No
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If yes, how many supervisors are on staff per shift?
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What is the maximum number of lanes a supervisor will be observing at a time?
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Are all supervisors first aid trained?
Yes
No
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Please list certifications/training of supervisors:
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Ok
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Do you require signed waivers before any participation, training, or competition?
Yes
No
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Please provide a copy of all waivers.
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Do you offer axe throwing classes/training?
Yes
No
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If yes, please list the certifications/qualifications of instructors:
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How many students are instructed at a time?
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Do you host any axe throwing sporting events or competitions?
Yes
No
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If yes, how many annually?
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How many participants per event?
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How many non-participating attendees per event?
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Are these events WATL or NATF official?
Yes
No
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Do you have a Liquor License?
Yes
No
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If yes, please provide license number:
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Has your liquor license ever been revoked or suspended?
Yes
No
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Do you carry separate Liquor Liability insurance?
Yes
No
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If Yes, please provide carrier and policy number:
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Have you experienced any liquor violations or claims in the last five years?
Yes
No
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If yes, please attach details.
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Do you have written guidelines for ID checking?
Yes
No
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Are alcohol servers trained in documented, responsible alcohol serving techniques (TIPS, TAM, RAMP, BEST, or similar)?
Yes
No
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Do you have written policies against axe throwing while intoxicated for employees and patrons that must be acknowledged before service? If yes, please attach a copy of your policies.
Yes
No
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Do you train employees on the handling of minors or intoxicated customers?
Yes
No
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If yes, please provide details:
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Are patrons or guest bartenders permitted to serve alcohol?
Yes
No
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If yes, please clarify:
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Do you allow “BYOB” consumption on premise?
Yes
No
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Do you sell whole bottles of hard liquor to tables?
Yes
No
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What % of your sales is food?
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What % of your sales are Beer/Malt Beverages?
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What would be the oz serving size?
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What would be the average cost per drink (Beer/Malt)?
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What % of your sales is Wine?
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What % of your sales are Mixed Drinks?
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What would be the oz serving size (Mixed Drinks)?
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What would be the average cost per drink (Mixed Drinks)?
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What % of your sales is Hard Liquor?
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What would be the oz serving size (Hard Liquor)?
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What would be the average cost per drink (Hard Liquor)?
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Do you end kitchen service before bar service?
Yes
No
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If yes, by how many hours?
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Do you run any of the following promotions:
“Happy Hour” reduced drink prices for 2 or more hours?
Any alcoholic beverages under $1?
Multiple drink incentives (i.e. “2 for 1,” “buy 3 get 1 free,” etc.)?
Complimentary drinks/reward drinks?
“All you can drink” specials?
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Do you offer any of the following specialty food or drinks:
Flaming or ignited drinks or food?
Pitchers or “fishbowls” of wine, mixed drinks, or liquor?
Drinks or food involving dried ice or liquid nitrogen?
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Do you permit employees to consume alcohol on premise either: During work hours?
Yes
No
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Do you permit employees to consume alcohol on premise either: After shifts?
Yes
No
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Do you sell packaged goods for off-premises consumption?
Yes
No
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Are persons under the age of 21 allowed on premises after 10:00 PM?
Yes
No
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Do you provide any 3rd party transportation coordination (i.e. cabs, ride hailing apps, etc.)?
Yes
No
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During the past five years, has any insurer ever canceled or non-renewed similar insurance to any applicant or has your insurance been canceled for nonpayment of premium by any insurance or finance company. If Yes, please attach and explanation.
Yes
No
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Is your company aware of any occurrences, facts, circumstances, incidents, situations, damages or accidents arising out of or related to your operations that a reasonably prudent person might expect to give rise to a claim or lawsuit whether valid or not which might directly or indirectly involve the company? If yes, please attach an explanation.
Yes
No
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