Friday, July 04, 2008
 
 
 
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Rifle Clubs Application

Rifle Clubs Quick Application for General Liability Insurance
Click here for Hunt Clubs Application
Club Name
Club Mailing Address
City
State
Zip code
Contact Person
Daytime phone number
Fax number
E-mail Address
Are you an NRA Club Affiliate? Yes No
NRA Club Affiliation number
Current Number of Members

Location Schedule
Location 1 Address:(street, city, county, state, zip, or legal description filed with the local courthouse)
   
Location 2 Address:
   
Location 3 Address:
   

Limits of Liability
 Effective Date
 Current Premium
General Liability Limits
 CurrentDesired
 $250,000$250,000
 $500,000$500,000
 $1,000,000$1,000,000
 $2,000,000$2,000,000

Range Operations and Safety
Type of range
 Indoor
 Outdoor
 Rifle
 Skeet, Trap or Sporting Clay
 Air
 Archery
Number of lanes
Number of fields
To what specifications are ranges built?
  Per NRA Guidelines
  Per own design (as described below)
  Other Specification

A Range Safety Program should include all of the following criteria. Please check, all that apply to your club:
  Range Maintenance program
  Maintenance log
  Procedures for cleaning of indoor range ventilation/filtration system
  Proper dispensing of all spent brass and lead
  Written Range Safety Program Guidelines
  Range Safety Rules posted
Are sufficient backstop, berms and/or pit exposures maintained for all ranges?
  Yes
No
Is a landowner, club member, or safety officer in control of the range at all times when in operation?
  Yes
No
Do you provide firearms training, safety or instruction?
  Yes
No
Are all instructors certified?
  Yes
No
      If yes, NRA Certified Law enforcement
      Other
Do you rent firearms at your range?
  Yes
No
Do you require safety instruction to all new shooters?
  Yes
No
Do you require eye and ear safety protection?
  Yes
No
Spectator safety:
  Designated area for spectators
No spectators

This is an application for General Liability Insurance Coverage Only. Other types of insurance are available including liquor liability, property, crime and umbrella insurance. Contact our sales department toll-free at 1-877-487-5407 for more information.

Questions or Comments:




By submitting your application we can provide you with a competitive quote. You are under no obligation to participate in the program.

   
 
 
 
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