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Request for Insurance for Sanctioned Events

Paddle America Clubs, Affiliate Organizations, and Divisions:

The ACA will issue a certificate of insurance, evidencing coverage to all Divisions, Paddle America Clubs and Affiliate Organizations and their event organizers in good membership standing for their events.  The ACA's insurance may cover third parties associated with an event (ex. sponsors, land owners, etc.) by naming them as "additional insureds."  Complete the form below to submit a request for a certificate of insurance for your event.  Only one event per form may be submitted. You will be prompted to enter additional insured information on the next page and will be able to pay the appropriate fees online when you are done.

Certificate requests made less than ten (10) days prior to the date needed will incur an additional rush fee of $25.00.  All fields on this form must be completed.  Please answer n/a when not applicable.


Affiliate Organization Fees

Paddle America Club Fees

Division Fees

Sanctioning Fee*




Rush Fee*




Additional Insured (per each)*





*All Fees are non-refundable

If you need additional information, contact the ACA Insurance Coordinator.



The Event Organizer must be a current member of the ACA. Call (540)907-4460 ext 103 to verify membership if necessary. Certificates will be sent to the e-mail address provided below.
Rivers rated Class III and above require a detailed Safety Plan as per ACA Risk Management Guidelines. Events on Class III+ water must submit all necessary paperwork at least 14 days prior to the event.

The following pre-event checklist is intended to demonstrate that the event organizers have properly planned this event in order to prevent accidents and handle emergencies if (when) they occur and will assist in the preparation of an appropriate emergency plan.

Please outline how you will acknowledge the ACA for this event, (ie., in press releases; on your website or social media sites; incorporating the ACA logo into advertisements and publications, signage, etc.).

As the ACA Member/Event Organizer in charge of this event, acting as an agent of the Organization detailed above, I hereby agree that the event will be conducted in accordance with all ACA requirements, Risk Management, and all other rules, guidelines, and conditions established by the ACA. I have read and fully understand the sanctioning requirements established by the ACA, I have personally inspected the event site(s) and I attest to the fact that such site(s) are appropriate for use in this event and free of undue hazards.

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