Insurance/Liability Waiver

Please complete all required fields

All member schools of GAPPS, LLC must have a current insurance policy in place that provides coverage for the member school, student athletes, coaches and all other persons associated with your athletic program. GAPPS, LLC requires that this form be on file in the league office before participation in the athletic program. GAPPS, LLC does not provide General Insurance coverage for member schools or any person associated with your school. Schools are responsible to contact the league if the insurance coverage changes.

GAPPS, LLC considers this form confidential.

General Information School Name * Address *

City *

State *

Zip *

Phone *

Website *

School Contacts Administrator Name: *

Adminstrator Email: *

Athletic Director *

Email: *

Phone: *

Insurance Information: Company: * Address *

City *

State *

Zip *

Phone *

Website

Agent Name *

Email: *

Phone: *

Policy Number *

Year Coverage Began: *

Agree & Sign

Please sign this form electronically by typing your full name into the spaces below. Remember to include the date signed.

Signature of Administrator/Principal: * Signature of Athletic Director: *

Date Signed: *

Confirm: *
By checking this box, I certify that I am the person designated above and authorized to sign and submit this form. (Your IP address will be captured during form submission).