To receive a quote for your Mobile Laser Tag, please fill out all the fields in the form below.

What is the proposed name of your facility? (*)

Please enter your facility name.
What is your first name? (*)

Please enter your first name.
What is your last name? (*)

Please enter your last name.
Proposed address of facility: (*)

Please enter the address of your facility.
City (*)

Please enter a city.
State (*)

Please enter a state.
What is your e-mail address? (*)

Please enter a valid e-mail.
Phone Number (with area code) (*)

Please enter your phone number.
Laser Tag Equipment Manufacturer (*)

Please enter your equipment manufacturer.
Date Business Opened (*)

Please enter the date your business opened.
Facility Type
  Stand Alone
  FEC
  Skating Center
  Bowling Center
  Other

Please select a Facility type.

Reduce Your Liability Exposure


Liability premiums are based on gross receipts. Please provide gross receipts for the following areas to allow us to create the lowest possible premium for your facility (All answers are confidential and used for the quote):

Expected Laser Tag Revenue (*)

Please provide your laser tag revenue
Expected Food/Snack Revenue

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Expected Arcade Revenue

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Expected Other Revenue

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Restaurant Exposure

Restaurant Exposure (*)
  Full Service
  Snack Bar
  Leased Out
  None
  Other

Please provide your restaurant exposure.

Facility Information

Expected Facility Size in Sqaure Feet (footprint) (*)

Please provide a facility size.
Will you use party rooms, party area or both? (*)
  Party Room
  Party Area
  Both

Please answer if you use party rooms.
Number of Party Rooms (if applicable)

Please provide the number of party rooms that you have.
Number of Parties allowed in a party area (if applicable)

Please provide the number of parties allowed in a single party area.

Arena Information

Arena Sqaurefeet (footprint) (*)

Please provide your arena size.
2nd Level Squarefeet (if applicable)

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3rd Level Squarefeet (if applicable)

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Will you have ramps? (*)
  Yes
  No

Please answer if you have ramps.
Will you have steps? (*)
  Yes
  No

Please answer if you have steps.
Maximum Number of Players allowed in arena (*)

Please answer how many players are allowed in your arena.
What will be the ratio of marshall/arena attendants to players (i.e, 1:20; 1:24; 1:30)? (*)

Please provide a ratio of attendants to players.
Additional Comments

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ILTA Membership - Membership will be required before a policy is bound but requesting a quote does not require membership.

(*)
  Current ILTA Facility Member
  Current ILTA Developer Member
  None ILTA Facility Operator
  Looking to open but not an ILTA Developer
  Other

Please provide your membership status.

By clicking the "SUBMIT" button below, I hereby acknowledge that I am requesting an application for insurance for my location and I agree that I will have the facility enrolled as a ILTA Member Location before any policy can be bound.




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