Camp Certificate

Camp Certificate

Need a Ministry Pacific insurance certificate for a camp or retreat? Please fill out the form below and we’ll respond.

You can also reach us at 1.866.870.2700 or service@ministrypacific.com.

If you need to download or print out a form, you can do that here.

Ministry Pacific Camp Insurance Certificate Form

Ministry Pacific Camp Insurance Certificate Request

Your organization's name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact name

First Name

Last Name

Contact's email address

Contact's phone number

(###)

###

####

Name of camp or retreat

(for example: "First Lutheran Kids Camp")

Age of camp attendees

Number of attendees (approximate)

Number of volunteers (approximate)

Camp dates

Name of Camp Facility

Address of camp facility

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please list camp activities

Are you seeking an Additional Insured Endorsement?

Yes

No

Any specific insurance requirements or requests being asked for?