Urmia Camps Program Application

The Risk Management resources on this site are intended to help answer the following questions. Your host University may also have additional materials and resources available through their Risk Management/EH&S/Legal or other departments.



AFFILIATE INFORMATION

• 1. What state do you operate your camp: Select a State AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming
• Only Camps taking place at URMIA member campuses are eligible.
  If you do not see your university, please contact Abigail Panciello at
  Abigail_Panciello@Rpsins.com or 800-446-5311 ext. 8080.

CAMP INFORMATION

• 1. Select your type of camp? Educational Sports
• 2. Is your camp being conducted at a university or college? Yes No
• 3. Do you have off-site activities or trips? Yes No
• 4. Do you have any adult participants (other than staff) at your camp? Yes No

OTHER INFORMATION

• 1. Do you have a written safety program for your camp: Yes No
• 2. Do you have a written emergency plan for a weather emergency or other serious emergency: Yes No
• 3. Do you have a custodial parent or guardian sign a liability waiver for every child?: Yes No
• 4. Do you have certified CPR and First Aid Personnel immediately available to your camp?: Yes No
• 5. Are you using the SafeKids Abuse Prevention Plan, or do you have a similar, equivalent plan in place? Yes No
• 6. Do you give RPS Bollinger permission to send you insurance certificates electronically (via e-mail)? Yes No