Get a Quote For Gym Insurance

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Contact Name:

Company Name:

Telephone Number:

Email Address:

Business Address:

Town:

Postcode:

Trade description:
—Please choose an option—GymUnsupervised Gym with 24 hour member accessPartly supervised Gym with 24 hour member accessUnsupervised Gym not 24 hour member accessPartly supervised Gym not 24 hour member accessBoxing GymPersonal training studioSports, recreation or leisure centreKick boxing & martial arts academyWrestling gymsHealth farmsBeauty spasDance / Yoga StudioOther (please detail)

If other, please detail explicitly:

Trading Status:
—Please choose an option—Ltd CompanyPartnershipSole Trader (T/a)Other

If Other, Please detail:

Website

When did you start trading:

Policy Due Date:

Who are you currently insured with:

What is you current insurance premium:

Have You Had Any Claims In The Last 5 Years:
—Please choose an option—YesNo

If 'Yes' Please Specifically Detail Dates, Incidents And Amounts Here:

Facilities Available (tick boxes after each activity):
Sports or fitness related instruction/ classesGymnasium - Free Weights, Exercise Machines, Treadmills other Cardio Machines and the alikeBoxing / Martial ArtsSwimming poolsSauna or steam room or the alikeMassage, hair, beauty, cosmetic treatments or other therapiesSpray tanningSunbeds/solariumsSale of sports nutrition supplements

Any Other Facilities Activities Please Detail Here:

Do you allow anyone under the age of 16 years to use the facilities:
—Please choose an option—YESNO

If 'Yes' Please provide further details including minimum age and what equipment & activities they use:

Do you provide coaching & tuition such as personal training & classes:
—Please choose an option—YES - by owners/directors and/ or directly employed trainers / instructors onlyYES - by 3rd party self-employed sub-contractors onlyYES - by owners/directors and/ or directly employed trainers / instructors AND 3rd party self-employed sub-contractorsNO

Sums Insured - If a new venture, please provide your best estimates

Buildings:

Do You Require Subsidence Cover:
—Please choose an option—YESNO

Tenants Improvements:

Computers, Cash Registers and Other Electronic Business Equipment:

All Contents Fixtures and Fittings:

Stock:

Wines Spirits and Beers:

Frozen Or Refrigerated Stock:

Glass:

Signs And Canopies:

Money Cover In Transit and On The Premises During Business Hours:

Money Cover After Business Hours In a Locked Safe:

Type Of Safe On The Premises:
—Please choose an option—No Safe on PremisesSafe Installed and Operated in line with Manufacturers Instructions & Cash Rating For The Amount of Money to be Stored Within

Sum Insured For Goods In Transit:

Business Interruption Indemnity Period Required:
—Please choose an option—0 Months12 Months18 Months24 Months36 Months

Public Liability Indemnity Limit:
—Please choose an option—£1,000,000£2,000,000£5,000,000£10,000,000

Your Annual Turnover:

Your Annual Staff Wageroll (Clerical Administrative Directors Only):

Your Annual Staff Wageroll (Directly PAYE Employed Trainers Instructors):

Do The Premises Have An Intruder Alarm:
—Please choose an option—NOYES - Bells / Audible OnlyYES - Digital Communicator Keyholder AlertYES - Central Station Monitored Exc Police ResponseYES - Central Station Monitored Inc Police Response

Is Frying Equipment Used:
—Please choose an option—YESNO

Notes - Anything to add?

Declaration
You or any director or partner in any business, any partner in any partnership, any director of any company, or the company;
either in any personal capacity, in the name of the business proposed or in respect of any other business in which any of you have ever had an interest have:

- Never had a proposal for insurance declined, cancelled or refused?
- Never had insurance cancelled mid-term, a renewal refused, increased or special terms or conditions imposed by an insurer?
- Never been given an official police caution, convicted of, charged (but not yet tried) or have any prosecution pending for any offence (excluding any motoring convictions and any offences which are spent under the Rehabilitation of Offenders Act 1974)?
- Never been the subject of or issued with a County Court Judgement (CCJ), money judgement or court decree and/or ever been cited in any unsatisfied court judgements (or the Scottish equivalent) or any other judgements or decrees in relation to debt?
- Never been declared bankrupt or insolvent, the subject of an individual voluntary arrangement (IVA) or company voluntary arrangement (CVA) with creditors, voluntary liquidation, a winding up or administration order, or administrative receivership proceedings, bankruptcy or insolvency proceedings?
- Never been disqualified from being a company director?
- Never been censured by any regulatory or trade body or any action been taken against the company by the office of fair trading, consumer groups or the alike?
- Never been served under any Health & Safety, Welfare, Environmental, Consumer Protection or Food Safety legislation or any other legislation, with any warnings, enforcement measures, prohibition notice, improvement orders, proceedings or criminal proceedings by any Health and Safety Executive, Environmental Health Office, Environment Agency, local or government authority or any other enforcement agency or authority?
- Never been convicted of, charged (but not yet tried) with, officially cautioned or have any prosecution pending for a breach of any Health & Safety, Welfare, Environmental, Consumer Protection, Food Safety legislation or any other legislation?
- Never been the subject of a recovery action by Customs and Excise or the Inland Revenue?

Please Confirm If You Agree With The Declaration(*)?:
—Please choose an option—NO - I Do Not AgreeYES - I Agree

IF You Do Not Agree With The Declaration Please Advise Why Here:

How did you hear about us:
—Please choose an option—Google Web searchGoogle Pay-Per-ClickYahoo Web searchBing Web searchOther Web searchFacebookTwitterRecommendationExisting ClientWord Of MouthAdvertisementOther

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