NRA Endorsed Insurance Program - Rifle Club Liability Application

INSURANCE SOLUTIONS

Gun Club Insurance Application

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Hunt Club Insurance

*If you currently have a policy with us, please call a representative to renew.

Club Name:
Club Mailing Address:
City:
State:
Zip Code:
Contact Person:
Phone Number:
Fax Number:
Email:
Are you a Club Affiliate member?: Yes No
Club Affiliate Member 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
Current: $250,000 $500,000 $1,000,000 $2,000,000
Desired: $250,000 $500,000 $1,000,000 $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 Specifications:

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 Guideline
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 Specifications:

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.

All coverage descriptions are a summary and not complete descriptions of all terms, exclusions and conditions in the master policy on file at NRA Headquarters.

NRA Member dues or contributions are not used for this promotion, program or any other related expenses.