To receive a quote for your Outdoor Site, 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 Invalid Input Expected Arcade Revenue Invalid Input Expected Other Revenue Invalid Input 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) Invalid Input 3rd Level Squarefeet (if applicable) Invalid Input 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 Invalid Input 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. Invalid Input