Boat Insurance Questionaire

First name

Last name

Email

Legion Member 26-27

Yes

No

Please note it is a requirement of the policy that you are a member of the Legion of Rowers. If you wish cover to be placed, please register as a member first before completing this form

Which Island are you based on ?

North Island

South Island

North Island

Do you allow the boat to be used for racing events ?

Yes

No

Type of Boat

Single

Double / Pair

Quad / Four

Octi / Eight

Single choice

Skiff

Coastal

Other

Year of Manufacture

Weight, Deecription or Model Number

Value for Insurance Purposes

Stored where ?

Club

Home

Bach

Other

Other items to be insured for regattas ?

Oars/Sculls

Stroke Coach

Boat Bag

Other

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I hereby confirm that I have read the Legion's Group Policy Insurance Administration Disclosure and accept the terms thereof

Boat Insurance Questionaire

The Legion of Rowers Incorporated