Insurance Application

Sick of paying "Amusement Park" rates? ARENA fraught the good fight and WON on your behalf! Through our endorsed EXCLUSIVE insurance program, we offer you appropriately priced property and casualty insurance INCLUDING WORKERS' COMPENSATION. We guarantee that you'll save money. How much? Just take 4 minutes to fill out the below application and find out.

For each location, the following questions should only take you about 4 minutes to complete. (See first FAQ for what information you will need.) We tailored this application for escape room owners which allowed us to cut out dozens of irrelevant standard questions like "Do you haul toxic waste?"

There is a "Notes" section at the end of this application for you to explain any unique circumstances.
Contact Name*
First Last
Contact Email*
Contact Phone*
Legal Entity name*
What type of legal entity is the applicant?*
What is your DBA (if different from your legal name)?
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Year Established*
FEIN*
Website URL*
When does your current general liability policy expire?*
When do you want to see the quote from this application?*

A minimum of 1 week is needed to provide a proper quote.
How many locations do you have?*

Location 1 details

There is a "Notes" section at the end of this application for you to explain any unique circumstances.
1st Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Same as Company Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
1st Location Notes

2nd Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
2nd Location Notes

3rd Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
3rd Location Notes

4th Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
4th Location Notes

5th Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
5th Location Notes

6th Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
6th Location Notes

7th Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
7th Location Notes

8th Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
8th Location Notes

9th Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
9th Location Notes

10th Locations Name (DBA)*
Location's FEIN (if different)
Location's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What are the estimated, annualized revenues for this Location?*
Do you lease or own this Location?*
- Lease
- Own
How many rooms are in this Location?*
How many part time employees for this Location?*
How many full time employees for this Location?*
What is the total estimated annual payroll for this Location?*
Are there sprinklers for fire protection in this Location?*
- Yes
- No
What type of construction is the building for this Location?*
What are the total square feet and total number of stories for the entire building for this Location?
Building Sq Ft*
Building Stories*
How many square feet and stories does this location occupy?
Your Location Sq Ft*
Your Location Stories*
Landlord name and address as on lease (so we can issue a certificate)
10th Location Notes
Number

Insurance Application

Step 1 of 11

Location 1 details