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We are specialist brokers who help you find the most competitive arrangement.
Please take 5-10 minutes to fill in the form below. This form contains the necessary information that enables us to quote on your behalf.

Gym Quote

PERSONAL INFORMATION

Name *

Name

First

First

Last

Last

Date of Birth *

Phone *

Email Address *

Address *

I'm unable to find the address

Address

Street Number/Name *

Suburb *

States * States

Post Code *

ABN *

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How do you find us?

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? *

Type of Business *

Further explanation on what you do *

LIABILITY

Get a Quote on Liability *

Yes

No

Liability

What qualifications do you hold that are relevant to the Insured Activities? *

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 *

Limit of Professional Indemnity required: *

Number of members estimate *

Do you require Management Liability? *

Yes

No

Martial Arts / Boxing / MMA

When did the business commence trading?

Describe all activities undertaken at the Studio - including details of any weapons use

Number of Instructors

Number of Members / Students

Age range of Members / Students

Will all members be required to sign a disclaimer at each membership renewal?

Yes

No

Please provide us more detail:

Will all casuals be required to sign a disclaimer at each visit?

Yes

No

Please provide us more detail:

Will all the signed disclaimers be safely stored in date order and kept for at least 6 years?

Yes

No

Please provide us more detail:

Are all goods sold or supplied by you and any premises, furnishings, fittings, appliances and plant used by you in a sound condition and comply with all statutory obligations and by-laws or regulations imposed by any public authority for the safety of persons or property?

Yes

No

Please provide us more detail:

Is all your fitness equipment (including components thereof) inspected, serviced and upgraded as per the manufacturers / distributors requirements?

Yes

No

Please provide us more detail:

Are all your gym balls (or swiss / fit balls) checked daily to ensure that they are inflated to the correct level and that they are only in accordance with the manufacturer’s specifications?

Yes

No

Please provide us more detail:

Do you conduct any activities outside the studio premises?

Yes

No

Please provide full details of activities including percentage of your total gross income:

Are there any child minding facilities located inside the studio for which you are responsible?

Yes

No

What are the minimum qualifications your staff must hold?

What is the ratio of supervisors to children?

DISCLOSURE & CLAIMS DETAILS

In the last 10 years, has any application or proposal form for similar insurance made by you been declined, cancellation or had renewal refused or had special terms and / or excesses applied?

Yes

No

Please provide more detail

In the last 10 years, have you been charged with or summoned for; arson, drugs, dishonesty or any kind, malicious damage, theft or injury to another person?

Yes

No

Please provide more detail

In the last 5 years, have any claims for professional negligence or public liability been made against you or any present or former principle, partner or director?

Yes

No

Please provide more detail

Are you, or any principle, partner or director aware of any circumstances that may give rise to a claim?

Yes

No

Please provide more detail

BUSINESS

Get a quote on Gym Business *

Yes

No

Gym Business

Address *

* Please provide the address where you operate your business, not your residential address

I'm unable to find the address

Street Number/Name *

Suburb *

States * States

Post Code *

Year built of the premises *

Select your construction

Floors *

Walls *

Roof *

Which is your security method? (can use multiple options) *

Monitored BTB Alarm

CCTV

Local Alarm

Deadlocks/bars/grills on all doors/windows

Swipe Card Access

Do your gym has sauna? *

Yes

No

Is it infrared sauna? *

Yes

No

What is your fire protection? *

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 *

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

No

PREVIOUS INSURANCE

Has 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

No

Has 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 your insurance coverage you need isn't listed or you have additional information to disclose, please provide it here.

If you are human, leave this field blank.

There should be at least 1 product selected. Or if you require something else, please leave us a mesage, we will contact your as soon as possible.

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