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
Laser Tag:
Last Year's Annual Receipts
Estimated Annual Receipts
Inflatables/Soft Play:
Last Year's Annual Receipts
Estimated Annual Receipts
Miniature Golf:
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
Birthday Parties:
Last Year's Annual Receipts
Estimated Annual Receipts
Climbing Wall:
Last Year's Annual Receipts
Estimated Annual Receipts
Bungee Trampoline:
Last Year's Annual Receipts
Estimated Annual Receipts
Drop Off's / Parent's Night Out:
Last Year's Annual Receipts
Estimated Annual Receipts
Trackless Train:
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
Please make sure that you have completed everything to the best of your knowledge before going to the next page.