Parade Insurance Form | Beaumont & District Ag Society

Insurance Information

Choose your insurance type below and complete your insurance information well before the parade.

Participants in the parade also acknowledge that all motorized vehicles used to tow or mechanize floats or otherwise used as part of the parade entry have valid insurance coverage and will be operated by a person(s) with valid Driver’s License. Proof of liability insurance coverage for all motorized and trailer-type vehicles is required for each entry. Equine entries must also provide proof of AEF or equivalent insurance.Provide insurance information in the form below.

Name of Business/Organization/Individual(Required)

The name in this box should be the same as the Name used to register for the Parade.

Email Address(Required)

Insurance Type(Required)

Insurance coverage not required (walkers/marchers only)

Organization's insurance policy if applicable

Vehicles

Trailer or other conveyance

Check the appropriate boxes above and fill in the insurance information in the applicable fields below.

Insurance Company(Required)

For organization or vehicle

Policy #(Required)

For organization or vehicle

Expiry Date(Required)

For organization or vehicle

Insurance Company(Required)

For trailer or another vehicle

Policy #(Required)

For trailer or another vehicle

Expiry Date(Required)

For trailer or another vehicle

Require More Vehicles, Trailers, or Equine Riders?(Required)

Yes

Insurance Company

For extra trailer or vehicle (3)

Policy #

For extra trailer or vehicle (3)

Expiry Date

For extra trailer or vehicle (3)

Insurance Company

For extra trailer or vehicle (4)

Policy #

For extra trailer or vehicle (4)

Expiry Date

For extra trailer or vehicle (4)

Insurance Company

For extra trailer or vehicle (5)

Policy #

For extra trailer or vehicle (5)

Expiry Date

For extra trailer or vehicle (5)

Insurance Company

For extra trailer or vehicle (6)

Policy #

For extra trailer or vehicle (6)

Expiry Date

For extra trailer or vehicle (6)

Insurance Company

For extra trailer or vehicle (7)

Policy #

For extra trailer or vehicle (7)

Expiry Date

For extra trailer or vehicle (7)

Insurance Company

For extra trailer or vehicle (8)

Policy #

For extra trailer or vehicle (8)

Expiry Date

For extra trailer or vehicle (8)

Insurance Company

For extra trailer or vehicle (9)

Policy #

For extra trailer or vehicle (9)

Expiry Date

For extra trailer or vehicle (9)

Insurance Company

For extra trailer or vehicle (10)

Policy #

For extra trailer or vehicle (10)

Expiry Date

For extra trailer or vehicle (10)

Equine Use in Parade(Required)

Yes

Horse owners/riders must provide current AEF or equivalent insurance coverage information. If you are using draft horses to pull a wagon or stagecoach, your farm policy will suffice (enter under organization or vehicle above).

AEF or Equivalent Ins. No. (Equine 1)(Required)

More Than One Equine?(Required)

Yes

AEF or Equivalent Ins. No. (Equine 2)

AEF or Equivalent Ins. No. (Equine 3)

AEF or Equivalent Ins. No. (Equine 4)

AEF or Equivalent Ins. No. (Equine 5)

AEF or Equivalent Ins. No. (Equine 6)

AEF or Equivalent Ins. No. (Equine 7)

Signature(s) of Insured(Required)

One person - usually the primary contact person making the parade registration - will sign on behalf of all others in the organization.

Name

This field is for validation purposes and should be left unchanged.