Hole in One Contest Insurance

By filling out our Hole-In-One application you can insure the prize amount for any successful Hole-In-One. Taking into account the length of the hole (in yards), cash value and number of participants, we can create a quotation that will protect you financially if there is a completed Hole-In-One.

Please note that all participants in the Hole-In-One contest must be amateurs—we cannot issue a quotation for coverage if any of the participants are professional golfers.

Click HERE to download our application!

SCROLL DOWN TO FILL OUT OUR ONLINE APPLICATION

Appliant's Name

Street Address

City

State

Zip

Phone

Fax

LIABILITY INFORMATION

Amount of Coverage Desired

Coverage Dates

ATTRACTION INFORMATION

Type of Event

Target

Round Play

Name of Course

Address

Hole(s) to be covered

Total Length in Yards

Total Par

Number of Holes-in-One on the Covered Hole(s) in the last 5 years

Number of Amateur Players

Number of Professional Players

AFFIRMATION AND SIGNATURE

Fraud Statement

Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

I ACKNOWLEDGE

Warranty Statement

The Hole-in-One must occur during official tournament play. No practice shots shall be permitted and all shots shall be made in the regular round of tournament play. Two Tournament Committee appointed observers shall be stationed at the selected target hole(s) at all times during the tournament. One at the tee and the other at the green. The target hole(s) will measure from teeing ground to flagstick no less than the specified yardage. Only one pre-designated hole may be used on the target hole green. The Hole-in-One must occur by an official registered competitor. The following documentation will be furnished to the Insurance Company as proof of a Hole-in-One claim: Attached statements by the two target hole observers (described in #1 above), the successful competitor (ACE-maker), and one playing partner. A signed and completed scorecard of the ACE-maker (photo copies acceptable). Certified copy of Tournament Pairing Sheet by the golf course professional or tournament director supervising the tournament. The policy premium together with a signed or accepted application are the basis of this insurance and must be received or postmarked prior to the start of the tournament. Any policy issued will be based upon the above information and will be considered as warranties in the policy.

I have read, and am aware of the contents of this application form which will be made a part of the policy if accepted and issued by the Company.

Title

Name of Applicant

Signature of Applicant

Date

HOLE IN ONE CONTESTS

Hole in One Contest Insurance