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Business Info
Equipment
Confirmation
Section 2: GENERAL INFORMATION (continued)
Are there any Ramps, Sliders, Trap Doors or Moving Floors?
Yes
No
If yes, please describe:
Are they adequately lighted at the Top?
Yes
No
Bottom?
Yes
No
Are all Entrances, Exits Stairways and/or Steps adequately lit?
Yes
No
Are all Stairways and/or Steps adequately equipped with Handrails?
Yes
No
Will any Actors, or Others, be in any contact with Patrons?
Yes
No
If yes, please explain:
Are Attendants trained in first aid?
Yes
No
Distance to the Hospital?
Are Guides used?
Yes
No
Minimum Age:
Ratio of Guides to Patrons:
Is a Security Service utilized?
Yes
No
Armed?
Yes
No
Insured?
Yes
No
Licensed?
Yes
No
Will there by any "Moonwalks" or Inflatables used?
Yes
No
If yes, please explain:
Are Warnings posted for patrons with Heart Conditions and/or Pregnant Women?
Yes
No
Are there fire extinguishers?
Yes
No
Smoke detectors?
Yes
No
Emergency exits?
Yes
No
If you are having a Maze, number of acres of the Maze?
Is the maze lighted?
Yes
No
Will there be Hayrides?
Yes
No
Tractor or Horse Drawn?
Does the wagon have sides?
Yes
No
Capacity?
Age Requirements?
Attendant on Board?
On Public or Private property?
Prior Insurance Carrier?
Premium:
Insurance ever been cancelled?
Yes
No
Insurance ever refused to renew?
Yes
No
Please describe any losses over $5,000.000
Submit