Skip to content

2025 Walk Location Insurance Request

General Information

Thank you for taking the time to fill in the Walk location insurance request form. Our insurance renews on April 1st and we would love to have all locations submitted for this renewal date.

Please fill in the details below so we can accurately complete the insurance request to our insurance provider. Please contact walk@cysticfibrosis.ca if there are any changes to your location information following submission of this form.
If your City requires the completion of an additional form for insurance please provide this form to walk@cysticfibrosis.ca following the completion of this form!
1.What is your name?(Required.)
2.What is your Walk location (City/Town) ?(Required.)
3.Does your city/location require proof of insurance or an additional insured certificate? (ex. additional insured for min $5 Million)(Required.)
4.What are the additional insured requirements for your city/location if required? (ex. additional insured $5 Million, Naming the City as additionally insured, etc)
5.What is the Certificate Holder's name (ex. Corporation of the City of Stratford)(Required.)
6.What is the Certificate Holder's Full Address (ex. address, suite #, City, Province, Postal Code)(Required.)
7.Please provide a description of your Walk event (ex. a __km Walk around ____ park with a BBQ provided)(Required.)
8.Please provide the Park/Event Location Name and Address on Walk Day(Required.)
9.Please provide any additional requirements or comments pertaining to the insurance of your location (ex. if your city requires an additional template to be completed)
10.Approximately how many volunteers will you have on Walk Day?(Required.)