PERSONAL

LEISURE / SPORT

Activity holiday travel insurance

Normal range of travel insurance
Covering almost all activities
All risks of physical loss or damage covering:
Personal belongings and activity equipment
Personal effects and luggage, sums insured £1000 to £1500
Money and travel documents
Additional travel and lodging (not food etc) expenses following claim for loss of money and travel documents
Personal accident (adults), sums insured £10,000 to £15,000
Personal liability, limits £1,000,000 to £2,000,000
Medical expenses
Cancellation and curtailment expenses
Includes "Search and Rescue" costs
Single or multi-trip (annual) policies available

If you would like to receive a free "no obligation" quotation via email please submit the form below

Data Protection Act, 1984. Your details will be stored on computer, only to handle your enquiry.


All input boxes are optional, except those in red, which must be completed. However, please include as much information as possible in order for us to provide you with a quotation for appropriate cover at the minimum premium.

Name and address
Postcode
Telephone
Fax
Email

Persons to be insured
(names and dates of birth)
Where is cover required?:
UK only
+ Eur.
+ W/W excl. USA
+ W/W incl. USA
Cover dates, including travelling days
Activity or activities to be included
 
If 'Other' - please specify in box
Period of cover required
Type of cover required (For details, see bottom of form)
Activity holiday itinerary
What activity club(s) do you belong to, if any?
How long have you been doing this activity?
Do you have any relevant qualifications?: YES/NO If YES please give details (only for high risk activities)
NB: Indicate any answers relevant only to certain party members

Summary of sums insured:
Part A:
Medical expenses£2,000,000
Search and Rescue (UK £10,000)£50,000
Personal accident (adults)£10,000
NB: Restrictions for children / highest risk activities
Personal liability£1,000,000
Activity equipment£1,000
NB: Limit £400 any one item or set, excludes hired equipment (unless requested/agreed in advance)
Legal expenses£10,000
Part B:
Personal effects and luggage£1,000
NB: Limit £300 any one article pair or set, £300 in total for cameras, binoculars, jewellery, other defined valuables
Money and travellers cheques£250
Cancellation and Curtailment£3,000
Loss of travel documents and passport£500
Travel disruption (ex-UK)£500
Travel delay (ex-UK)daily rate or cancellation

Optional changes to standard cover.

a.         Discount for excluding Part B, e.g. if covered by house or other annual travel insurance
b.         Increased personal accident benefit
c.         Weekly benefit under personal accident section
d.         Increased activity equipment sum insured
Please indicate optional changes, if required, with sum insured if appropriate, in the textbox below.

Optional changes
Any additional information,
comments or questions.

Name of person completing the form, who agrees that the answers given are truthful and will be used as the basis for an insurance policy if premium and terms are acceptable: