League Insurance Request
WFSA Insurance Certificate Request (Presidents Only)
WFSA League Name
Request Date
RadDatePicker
RadDatePicker
Open the calendar popup.
Date Required
RadDatePicker
RadDatePicker
Open the calendar popup.
Request made by
Email
Facility/School Name
 park & rec name/school name/field name
Address
City, State, Zip
Additional Insured
 IE:School Board/City Council
Field Used
 IE:Varsity/JV/Field 1
 Required field