Section 2: GENERAL INFORMATION
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GENERAL LIABILITY
Location(s) covered:
Fill in below, total annual receipts for each attraction at above facility(facilities)
Coin Operated Amusement Equipment:
Last Year's Annual Receipts
Estimated Annual Receipts
Bumper Boats:
Last Year's Annual Receipts
Estimated Annual Receipts
Bumper Cars:
Last Year's Annual Receipts
Estimated Annual Receipts
Batting/Pitching Cages:
Last Year's Annual Receipts
Estimated Annual Receipts
Coin Operated Rides:
Last Year's Annual Receipts
Estimated Annual Receipts
Go Karts:
Last Year's Annual Receipts
Estimated Annual Receipts
Attendant Operated Rides:
Last Year's Annual Receipts
Estimated Annual Receipts
Lazer Tag:
Last Year's Annual Receipts
Estimated Annual Receipts
Bounce Play/Soft Play:
Last Year's Annual Receipts
Estimated Annual Receipts
Miniature Golf:
Last Year's Annual Receipts
Estimated Annual Receipts
Driving Ranges:
Last Year's Annual Receipts
Estimated Annual Receipts
Gift/Pro-Shops:
Last Year's Annual Receipts
Estimated Annual Receipts
$
Food Operations:
Last Year's Annual Receipts
Estimated Annual Receipts
Concessions?
Yes
No
Alcoholic beverages:
Last Year's Annual Receipts
Estimated Annual Receipts
Room Rentals:
Last Year's Annual Receipts
Estimated Annual Receipts
Climbing Wall:
Last Year's Annual Receipts
Estimated Annual Receipts
Bowling:
Last Year's Annual Receipts
Estimated Annual Receipts
Paintball:
Last Year's Annual Receipts
Estimated Annual Receipts
Ice Skating:
Last Year's Annual Receipts
Estimated Annual Receipts
Roller Skating:
Last Year's Annual Receipts
Estimated Annual Receipts
Water slides:
Last Year's Annual Receipts
Estimated Annual Receipts
Euro Bungee:
Last Year's Annual Receipts
Estimated Annual Receipts
Trampolines:
Last Year's Annual Receipts
Estimated Annual Receipts
Rope Ladders:
Last Year's Annual Receipts
Estimated Annual Receipts
Mechanical Bull:
Last Year's Annual Receipts
Estimated Annual Receipts
Shuffleboard:
Last Year's Annual Receipts
Estimated Annual Receipts
Simulators:
Last Year's Annual Receipts
Estimated Annual Receipts
Volleyball/Basketball:
Last Year's Annual Receipts
Estimated Annual Receipts
Tennis Courts:
Last Year's Annual Receipts
Estimated Annual Receipts
Billiard/Pool Table:
Last Year's Annual Receipts
Estimated Annual Receipts
Off-Site Inflatable Rentals:
Last Year's Annual Receipts
Estimated Annual Receipts
Other:
Last Year's Annual Receipts
Estimated Annual Receipts
Other:
Last Year's Annual Receipts
Estimated Annual Receipts
Other:
Last Year's Annual Receipts
Estimated Annual Receipts
Other:
Last Year's Annual Receipts
Estimated Annual Receipts
Other:
Last Year's Annual Receipts
Estimated Annual Receipts
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