Existing - Mobile Laser Tag

To receive a quote for your Mobile Laser Tag, please fill out all the fields in the form below. In less than 5 minutes it takes to fill out this form you can save $2,000, $4,000, $10,000+ in liability premiums.

What is the name of your facility?

What is your first name?

What is your last name?

Address of facility:

City:

State:

Zip Code:

What is your email address?

Enter email address again, please

Area Code & Phone Number

Laser Tag Equipment Manufacturer:

Date and Year Business Opened:

Is this a new, yet-to-open facility?

Please Confirm Your Type Of Facility Stand Alone
FEC
Skating Center
Bowling Center
Planning To Open
Other
Reduce Your Liability Exposure
Liability premiums are based on gross reciepts. Please provide gross reciepts 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):
Laser Tag Revenue:
Food/Snacks Revenue:
Other Revenue:

Arena Information

Number of Portable Arenas:
Arena Square footage (footprint):
Arena Square footage (footprint, if applicable):
Arena Square footage (footprint, if applicable):
Maximum number of players allowed in the arena:
What is the ratio of marshall/arena attendants to players (i.e, 1:20; 1:24; 1:30)?

Current Premiums (if applicable):

Additional Comments:


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

Currently an ILTA Facility Member
Currently an ILTA Developer Member
Facility operator, but not an ILTA Member
Looking to open but not an ILTA Developer
Other
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.