Sports Clubs, Gyms & Social Clubs – Insurance Quote Request

Please complete as much as possible. We’ll use this to obtain tailored insurance terms for your club, gym or social organisation.

Your details

Club / organisation name *

Registered name (if different)

Main contact name *

Position / role

Correspondence address *

Postcode *

Telephone number *

Email address *

Website

Preferred contact method

Organisation details

Type of organisation *

If other, please describe

Approx year first established

Legal status

Is the organisation registered as a charity?

Are you affiliated to any governing body?

If affiliated, please provide details

Estimated annual income / turnover £ *

Number of members

Number of junior members (under 18)

Number of teams / sections (if applicable)

Activities & facilities

Premises & security

Main premises address (if different from correspondence)

Postcode (premises)

Type of premises

Approximate year building constructed

Construction of main building

Construction type / details

Flat roof? (any part of the building)

Approx % of the roof that is flat

Opening hours / typical usage times

Security protections

Intruder alarm?

Any history of flooding, subsidence or structural movement?

If yes, please provide details

Wages / wage roll

Estimated annual wages – managers / administrators £

Estimated annual wages – coaches / instructors / trainers £

Estimated annual wages – bar / catering staff £

Estimated annual wages – grounds / maintenance staff £

Estimated annual wages – other staff / casual workers £

Any other wage categories – details

Property damage – sums insured

Buildings sum insured £ (if you own the building) Full rebuilding cost including debris removal and professional fees.

Clubhouse / pavilion tenants’ improvements £

Club contents / furniture & equipment £

Sports equipment (on premises) £

Sports equipment (away from premises) £

Playing surfaces / pitches / courts / 3G surfaces £

Floodlights / scoreboards / stands £

Bar stock & food stock £

Computer / IT / office equipment £

Business interruption / loss of income

Business interruption cover required?

Indemnity period

Estimated annual gross profit / income £

Sum insured required for business interruption £

Liability cover

Employers Liability required? Usually required if you have employees, coaches or paid staff.

Number of people to be covered under Employers Liability

Public Liability limit required

If other limit required, please specify

Is member-to-member liability required?

Personal Accident

Personal Accident cover required?

Number of persons / teams to be covered

Benefit level required

Safeguarding & under 18s

Are activities provided for under 18s? *

Do you have safeguarding / child protection policies in place?

Are coaches / staff working with juniors DBS / PVG checked where required?

Claims & history

Any claims or incidents (paid or outstanding) in the last 5 years? *

If yes, please provide details Please include dates, type of claim, amount paid / outstanding and circumstances.

Have you or any partner / director / committee member ever had insurance cancelled, declined, refused, or had special terms imposed, or any unspent criminal convictions? *

If yes, please provide full details

Current insurance (if applicable)

Current insurer

Policy renewal date

Approximate annual premium £

Anything else we should know?

Additional information Any other details which may help us obtain the most competitive terms for you.

Fields marked with * are required.

By submitting this form you are providing consent for Miller & Partner Ltd to contact you in relation to this quotation and any related insurance products.

Office: Vivian House, Roman Bridge Close, Mumbles, Swansea, SA3 5BG

Call 01792 001350

Email: [email protected]

Miller & Partner is an Authorised Representative of Gauntlet Risk Management Ltd and are authorised and regulated by the Financial Conduct Authority (FCA) under firm reference number 1029698. You may check this on the Financial Services Register by visiting the FCA website, https://www.fca.org.uk/register/ or by contacting the FCA on 0800 111 6768 Privacy Policy

Call: 01792 001350

Sports Clubs, Gyms & Social Clubs – Insurance Quote Request