Safe Kids Liability Insurance Request

Thank you for planning and hosting an event in your community. We are happy to be able to offer you liability coverage for your event and volunteers. Please fill out the information as completely as possible. Events submitted without ample details will not be provided coverage. Events need to be registered at least 7 days in advance. Please contact Lisa Blackmon if you have questions or concerns.

Liability Insurance Request Information

Please make sure you complete all fields to receive coverage for your events. By filling this out coverage will be provided for your Safe Kids sponsored event.

*required field

City of Event*  
State of Event*
Zip of Event*