BACK You may print out this
form and mail it in to:    		Bob McCloskey Insurance
PO Box 511
Matawan, New Jersey 07747
 
We can provide the finest insurance
coverage available for all your camps.

For a proposal, fill out and mail or FAX to us (732)583-9610.

 We have:
*Accident Coverage up to $100,000
*Liability Coverage to $2,000,000
*Directors and Officers (D&O) Liability
*Sexual Molestation coverage Available
*Accident Medical claims paid by Us
 
Name of Camp:  
Contact Person:  
Phone:  
Street:  
City:  
State:  
Zip code:  
 
SPORT: # Weeks: #Participants
/Week:		 Ages:
1      
2      
3      
4      
5      
6      
7      
8      
9      
10