1 dollar test

Team Name

Contact Name

Street Address

City*

Select State

ZIP Code

Phone Number 1

Phone Number 2

Email Address

This policy will expire one year from the Effective Date. If you have more than one team playing under the same name you may register up to 5 at the same time. Just select the age groups for the additional teams.

Team 1 Age Groups*

12 and under
13-15
16-18

Team 2 Age Groups

none
12 and under
13-15
16-18

Team 3 Age Groups

none
12 and under
13-15
16-18

Team 4 Age Groups

none
12 and under
13-15
16-18

If you need a Third Party Additional Insured Certificate issued at this time, please complete the information below. If you need a certificate for an entity other than a Tournament Director, Government Entity, Landowner, Facility Owner or League please email info@esportsinsurance.com after you have completed paying for your registration. If you need more than one Additional Insured Certificate, they can be generated online after you complete the registration process.

Please leave blank if not needed at this time.

Additional Insured Certificate for:*

none
Tournament Host Organization
Owners and/or lessors of premises, leased, rented or loaned to the named insured. (Schools, Counties, Municipalities, etc)
Sponsors
Co-Promoters
Sport Governing Body (Leagues, etc.)

First Name*

Last Name

Street Address*

City*

Select State*

Country*

ZIP Code*

Insurance Purchase test

Step 1 of 2

PURCHASE TEAM INSURANCE – STEP TWO