World Events Insurance

Dance Schools & Programs- Eligibility

Please select the type(s) of instruction offered by the school/club (select all that apply).

Ballet
Ballroom
Belly dancing
Clogging
Country western
Cultural/ethnic
Flamenco
Folk dancing
Hawaiian
Hip Hop
Irish
Jazz
Latin
Modern
Salsa
Scottish
Square
Swing
Tango
Tap
ZUMBA (R)

If the styles of dance are not listed above, DO NOT CONTINUE. Please contact our office at 1-877-917-6056.

Desired effective date

In what state is the insured’s business mailing address?

Is the current carrier non-renewing coverage?

Yes
No

Have any liability claims been paid under the facility’s insurance coverage in the last three years?

Yes
No

Do independent contractors instruct at your facility?

Yes
No

Dance Schools & Programs- Ineligible Operations

The following are ineligible for enrollment in this program and coverage is excluded. To continue this process online, you must first confirm that none apply to the facility obtaining a quote.

- Acrobatic and circus skills training

- Banquet, Ballroom & Recption rental facilities

- Discotheques & Nightclubs

- Professional dance or touring companies

- Production companies

- Dance halls

- Cabarets

Do any of the above apply to this facility?

Yes
No

Dance Schools & Programs - Rating

Dance School Operations:

*Estimate the number of dance participants that will be enrolled in your program at your busiest time of the year

Dance Schools & Programs – Subsidiary Activities

Coverage does not extend to subsidiary activities offered by the insured unless they are reported.

Subsidiary activities are those that:

- Not part of the normal dance school instruction operations - Are available to non-registered participants of the school - Require members to pay a separate registration or enrollment fee to participate

Estimate the total number of non-registered or separately enrolled participants in each of the following activities, if any:

Yoga and/or exercise classes:

Arts, crafts or music classes:

Birthday/Social Parties:

Estimate the number of birthday/social parties expected to take place during the requested coverage period, if any:

Optional Coverages - Abuse, Molestation, Harassment or Sexual Conduct Defense Cost Reimbursement

The coverage reimburses you up to $100,000 per claim / $100,000 aggregate for defense costs from claims.

Do you want to add this coverage to this quote?

Yes (please answer the questions below)
No

Are all prospective employees required to complete a written employment application?

Yes
No

Does your employment application ask the applicant if they have ever been convicted of a crime?

Yes
No

Are references obtained and checked prior to hiring a staff member?

Yes
No

Do you have frequent discussions with your staff on the importance of providing a safe environment for the children in your care?

Yes
No

Do you have written procedures for responding to a reported abuse incident?

Yes
No

Is a copy of the written procedure provided to each member of your staff?

Yes
No

Is mandatory notification to local law enforcement included in your written procedures?

Yes
No

Is suspension of the accused employee part of your written procedures?

Yes
No

Has any member of your organization ever been involved in an incident which resulted in an allegation of abuse or molestation?

Yes
No

Number of facility locations:

Optional Coverages - Equipment & Contents (Inland Marine)

This provides coverage for direct loss or damage to your supplies and equipment, furnishings, improvements and betterments, signs and nonstructural glass due to fire, theft, vandalism or other covered causes (subject to actual policy terms and conditions).

Does the insured have leased/owned equipment that they want to insure?

Yes (please complete below info)
No

Replacement cost value amount: $

Insured Information

*Named insured (as it should appear on the policy)

Doing business as (DBA)

*Contact first name:

*Contact last name:

*Mailing address:

Address Line 2

*City:

*State

*Zip:

*Phone (including area code):

Fax (including area code):

*E-mail:

*Re-confirm e-mail: