Escape Room Application

Escape Room

Escape Room Application

* Indicates required field

Point of Contact *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Company Name *

How many years have you been in business? *

Do you require adults or chaperones for participants under the age of 18? *

Do you offer any sessions longer than 2 hours *

Do you use paint bombs, exploding paint or exploding powder? *

Do you offer axe throwing or rage room experience? *

Is virtual reality part of your business operation? *

Would you like to add Abuse and Molestation coverage for a limit of $100,00? Additional premium of $250.00 will apply. *

Tenant Improvement(Buildout Amount): $ *

Annual Gross Receipts for this Location: $ *

Business Personal Property Limit: $ *

Business Income/Interruption Limit: $ *

How many rooms/puzzles do they have? *

Do they have a set of written safety rules provided to each participant prior to each game? *

Do they have any puzzle/games that involve physical activities, animals, or amusement devices? *

Are there actors in place that interact with participants in any of the rooms? *

Max. Number of people allowed in room at any given time *

Number of employees *

Are signed waivers required from all particcipants? *

Are all escape room participants monitored? *

Are participants able to unlock the door or exit rhrough another door in case of emergency? *

Are all exits illuminated in the facility? *

Do they have cameras (with a video storage minimum of 90 days) in place? *

Is your facility 100% sprinklered? (This should include, but not be limited to, all rooms guests have access to.) *

Has the facility’s sprinkler system been inspected and confirmed in good working order within the past 12 months? *

Have you had more than $7,500 of total claims in the last three years? *

If so, please provide details. *

Do they host any offsite events? *

If “Yes”, please provide details: *

Are there any trap doors or moving floors? *

If “Yes”, please provide details including where they are located and how they function: *

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(619) 460-5615
La Mesa, CA
Click Here to Email Us

We are licensed in Multiple States

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Dawson & Associates Insurance Services, Inc.
La Mesa, CA
(619) 460-5615
Click Here to Email Us

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Escape Room