Rate this pageGym Quote - Test not Real PERSONAL INFORMATIONName * Name First First Last Last Date of Birth * Phone * Email Address * Address * I'm unable to find the addressAddress Street Number/Name * Suburb * States * Enter the stateACTNSWNTQLDSATASWAVIC States Post Code * How do you find us? Please SelectInternet SearchFacebookFriends and Family Please complete the following information and submit this form to obtain an insurance quotation. All information you provide must be correct, true, and accurate as incorrect or misleading information may alter our quote and jeopardise cover if you proceed with a policy.Please refer to the Financial Services Guide, Privacy Statement and Duty of Disclosure before completing this form.INSURANCE DETAILS Insured Name * Trading Name How many years of industry experience does the insured have? * Please Select123456789More than 10 Type of business Type of Business * Please SelectAerobicsZumbaSpinningYogaPilatesAthleticsCoaching (non Contact)Water AerobicsBoxerciseFitness InstructorWeight liftingDancePersonal TrainersGroup Fitness InstructorGroup Fitness Centre (F45 Style)CrossfitCoaching (Contact)Gym (Fixed Hours)Gym (24 Hr)UFC/MMAMartial ArtsBoxingPublic PoolCheerleadingGymnasticsAFL/Rugby CoachingOnline Coaching (Personalised)Pole DancingMuay ThaiBootCamp plus1 Add minus1 Remove Further explanation on what you do * For Martial Arts / Boxing / When did the business commence trading? * Describe all activities undertaken at the Studio - including details of any weapons use * Signature * Clear ABN * Search the Australian Business RegisterLIABILITY & BUSINESSGet a Quote on Liability * Yes NoLiability What qualifications do you hold that are relevant to the Insured Activities? * Please SelectFirst Aid CertificateCert III GymFitness instructorOther Please describe other qualifications that you hold * Do you operate your own Gym/Facility? * Yes No What is your Turnover Rate * Limit of Liability required * Please Select$5M$10M$20M Limit of Professional Indemnity required: * Please Select$1M$2M$5M Number of members estimate * Do you require Management Liability? * Yes Noplus1 Add minus1 RemoveGet a quote on Gym Business * Yes NoGym Business Year built of the premises * Select your construction Floors * Please SelectConcreteIron / SteelBrickWoodOther / Mixed (Non-Combustible)Other / Mixed (Full/Partial Combustible)Tile Walls * Please SelectConcrete / StoneConcrete Tilt SlabIron/Steel/Aluminium on SteelIron/Steel/Aluminium on WoodBrickMansonryExpanded Polystyrene (EPS)WoodMixed < 75% Brick/Concrete/Iron on SteelMixed > 75% Brick/Concrete/Iron on SteelGlassMetalPolystyreneOther Roof * Please SelectConcreteIron / SteelTiles / SlateAsbestosFibroIron/Steel/Aluminium on SteelIron/Steel/Aluminium on WoodExpanded Polystyrene (EPS)WoodPolystyreneGlassOther/Mixed (Non-Combustible)Other/Mixed (Full/Partial Combustible) Which is your security method? (can use multiple options) * Monitored BTB Alarm CCTV Local Alarm Deadlocks/bars/grills on all doors/windowsDo your gym has sauna? * Yes No Is it infrared sauna? * Yes No What is your fire protection? * Please SelectFire ExtinguishersSprinklersSmoke DetectorsHose ReelsOthers Please be more specific about Other Fire Protection. * Is the premises currently going through a fit out process? * Yes No When is this expected to be finalized? * Content Sum Insured * $75K$150K$250KOthers Enter Sum Insured * Do you required Business Interruption? * Yes No What is your Turnover Rate? * Do you required Theft Cover? * Yes No How much is Sum Insured? * Do you required Money Cover? * Yes No How much do you want for Money Cover? * Do you required Glass Cover? * Yes Noplus1 Add minus1 RemovePREVIOUS INSURANCEHas the insured or any director or partner experienced any claims in the last 5 years? * Yes No Date of loss * Please provide us some detail * How much is your incurred amount? * Does the Insured use a washing machine or dryer to clean their own clothes, towels on the premises? * Yes NoHas the insured or any director or partner in the past 5 years ever had any previous insurer decline a proposal, refuse to renew a policy or impose special terms or conditions? * Yes No If you are human, leave this field blank. SubmitStart Over
