Competition Event Risk Management Questionnaire

AMA Insurance Program

Facilities Risk Management Guidelines
Facilities

Requires a risk management survey/inspection once every 3 years.
Legal Entity/Charter Name:*
Event Name:*
Event Location:*
Event Start Date:*

MonthDayYear
Date
Event End Date:*

MonthDayYear
Date
Event Premise Liability Exposure
OwnLeaseAgreementPermit
YesNo
If yes, please provide a certificate of insurance coverage.

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b. If you lease the location, please provide a copy of the lease agreement. COVERAGE CANNOT BE EXTENDED TO A LEASED FACILITY WITHOUT A COPY OF THE LEASE AGREEMENT.

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c. If you use a location for an event on a temporary basis, please provide evidence of premises insurance provided by the landowner.

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2. Who maintains the premise?*
YesNo
If yes, please provide details including how you restrict access.
YesNo
If yes, please provide the types of equipment.
YesNo
If yes, please describe it in detail.
YesNo
If yes, please provide evidence of General Liability coverage adding you as an additional insured.
YesNo
Description of Camping Premises
a. Number of primitive camping sites
b. Number of RV Hookups
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Concessions
YesNo
YesNo
YesNo
If yes, who holds the Liquor License?
YesNo
YesNo
If yes, please provide each type of equipment. (list in space below)
Event concession revenue
Racing
1. Number of participants 18 years of age and older?*
a. Number of participants under the age of 18?*
b. Please provide number of participants by age class:*
2. Number of spectators or people who are not registered riders?*
YesNo
Description
YesNo
Description
YesNo
If yes, what type?
YesNo
Description
YesNo
Description
8. Who designed and built your track/course?*
a. What is their experience?
YesNo
a. What is the largest jump?*
10. Please provide a track diagram showing spectator areas, positive barrier location and spectator fencing setbacks.

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Waivers
YesNo
If yes, please provide the vendor name.
YesNo
BOTH PARENTS MUST SIGN THE WAIVER (UNLESS ONE PARENT INDICATES THEY HAVE SOLE CUSTODY). IF NOT PRESENT AT THE EVENT A NOTERIZED WAIVER MUST BE PROVIDED AND SIGNED BY BOTH PARENTS. A GUARDIAN CANNOT SIGN FOR A MINOR PARTICIPANT.
Practice
YesNo
Flaggers and Officials
1. Please provide a Track diagram with the flagger or official locations at all appropriate areas such as jumps, turns or other blind areas and check points.

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YesNo
If yes, please provide a copy of your training department.

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YesNo
YesNo
YesNo
YesNo
Contracts and Supporting Documents
Upload Contracts or Supporting Documents (If applicable)

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Should be Empty:

AMA Insurance Program