I represent that the following statements are true and no material facts have been suppressed or misstated.
- I am at least 18 years of age;
- I have not had any claim or suit brought against me, nor am I aware of any incident that might reasonably be expected to lead to a claim or suit;
- I have never had any professional liability insurance declined, canceled, or non-renewed for any reason;
- Within the last 5 years, I have not been the subject of complaints, charges, or disciplinary action for any reason, by a court, licensing board or regulatory agency;
- I do not practice or provide any professional services in any of the following areas:
- Boot Camps;
I further represent that, to the extent required,
I am licensed to practice in accordance with all relevant federal, state and local requirements and my license is current and active.
I understand and agree that I am covered for the professional services listed on the Insurance Plus website only to the extent that they are
included in the scope of work as defined by the federal, state or local jurisdiction that regulates my professional activities.
I acknowledge that professional services rendered under the influence of drugs or alcohol are excluded from coverage.
The policy does not extend coverage for activities conducted by employees or anyone else assisting or performing on my behalf,
nor does it apply to the operation of a studio/facility.
In order to be covered for Stand-up Paddleboard Yoga(SUP), I represent the following:
- I currently hold and maintain a valid CPR certification.
- A Liability Waiver is utilized for each individual engaging in activity.
- Paddleboards or platforms must be secured via an anchor in any body of water.
Upon submission of this application, your policy becomes
effective on the date selected above. Your payment will be
reflected on your credit card statement this month.