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Acuerdo de liberación y exención de responsabilidad, asunción de riesgos e indemnidad Nombre de la pista o del evento: _____________________ Fecha(s) del evento: ___________________

Nom de la piste etou de Ievenement: Dates de Ievenement: Textfield-0: Textfield-1: Textfield-2: Textfield-3: Textfield-4: Textfield-5: Textfield-6: Textfield-7: Textfield-8:

Release and Waiver of Liability Assumption of Risk and Indemnity Agreement Event Name/Location: Event Date(s): IN CONSIDERATION of being permitted to compete, officiate, observe,

Abuse & Molestation Supplemental Questionnaire Named Insured I DBA Facility Address City I State I ZIP Code 1. Type of Facility 2. Please check each that describes your current and/ or planned

Batting Cages Supplemental Questionnaire Separate application required for each location I. General InformationNamed Insured I OBA Facility Address Website I Email II. Batting Cage

Health Club Facility Swimming Pool Supplemental Application I. General Information Named Insured I DBA Facility Address Website I Email How many pools? Indoor Outdoor II. Pool

Hired & Non-Owned Auto Supplemental Application Separate application required for each location To be completed and returned with Commercial Auto ACORD application I. General Information Named

Liquor Liability Application This is a warrantee application for primary or excess liquor liability insurance. All questions must be answered. If the answer to any question is none, state 'none'

Skating Facility Supplemental General Liability Application Separate application required for each location I. General Information Named Insured I DBA Facility Address Website I Email D

NAME OF TRACK FACILITY: I HAVE READ THIS RELEASE: SIGNATURE: PRINT NAME: TITLE: DATE SIGNED: CREDENTIALS: ADDRESS:

PAGE 1 OF 2©2026 Innovation Growth Partners Specialty, LLC. All rights reserved. | igpspecialty.com | Rev. 02.17.26 Natural Disaster Program Application PERILS TO BE COVERED • Flood-only

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JVBERi0xLjcNJeLjz9MNCjEzIDAgb2JqDTw8L0xpbmVhcml6ZWQgMS9MIDE1ODM2Mi9PIDE2L0UgMTUwOTYxL04gMS9UIDE1ODA0MS9IIFsgNzAyIDI4NV0+

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Where Outdoor Risk Meets Industry Expertise For more than 55 years, Safehold Sports has specialized in protecting businesses across the snowsports and outdoor recreation industries. From ski

Batting Cages Supplemental Questionnaire Separate application required for each location I. General InformationNamed Insured I OBA Facility Address Website I Email II. Batting Cage

Revised 2/2020 CLIMBING WALL SUPPLEMENTAL QUESTIONAIRE (Separate application required for each location) I. GENERAL INFORMATION NAMED INSURED: _________________________________________________

1 GAMING SUPPLEMENTAL QUESTIONAIRE Insured Name: 1. Provide description of gaming operation, # of gaming machines, tables etc. ____________________________________________ ___________________

Abuse & Molestation Supplemental Questionnaire Named Insured I DBA Facility Address City I State I ZIP Code 1. Type of Facility 2. Please check each that describes your current and/ or planned