2022 GNCC Curling Insurance Application

Grand National Curling Club 2022 Insurance Application

Number of Members and Curlers

This section will be used to calculate the total GNCC Insurance Premium

Club Authorization

I understand and agree that if the company accepts this application, coverage will begin on the date of acceptance, or on the date requested above, subject to the payment of the required premium. Premium calculation is subject to verification. It is understood that no agent is authorized to accept risks or pass on insurability. Any person who, with intent to defraud or knowingly facilitate fraud against an insurer, submits an application or files a claim with false and/or deceptive statements or calculations, may be guilty of insurance fraud.