Entertainers' Liability Insurance
Application Form
Contact Information

Policy Information
Effective Dates are from the date of application acceptance
and payment through the end of the policy term.
Is this a renewal?
Years performing as a Christmas Character?
As a Christmas Character Performer, have you had
any claims filed against you within the past four years?*
Estimated number of appearances from the date
of application through the end of the policy term
Number of Assistants
Member’s Assistant: Mrs. Claus, elf, etc.
Member as Additional Character
as non-Christmas characters; excluding licensed characters
Include Property Coverage*
Coverage Option*
Abuse & Molestation Coverage is excluded unless background checks on member and member assistants are completed and on file.
Reminder: the policy is not intended to cover COVID related incidents and is not cancelable, even for COVID cancellations.

Applicant's Statement and Declarations

The applicant declares to the best of his/her knowledge the information contained in this application and all supplements attached to be true and that no material facts have been suppressed or misstated.  The applicant further understands that any false or fraudulent statements or misrepresentations could result in the termination of voidance of any insurance contract issued from the information stated herein.

Payment Information

Quantity Description Rate Total
1 Member – Flat/Fully Earned $170.00 $170.00
1 Member – Service Charge $4.89 $4.89
0 Assistant – Flat/Fully Earned $75.00 $0.00
0 Assistant – Service Charge $1.94 $0.00
0 Property Coverage $100.00 $0.00
0 Property Coverage - Service Charge $2.90 $0.00
0 Additional Character Liability $75.00 $0.00
0 Additional Character Liability Service Charge $1.94 $0.00
1 Processing Fee $5.00 $5.00
Total $179.89
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