Outdoor Adventure Guide Application

This form is for outdoor adventure guide services not listed in our Guide & Outfitters application.

iIf your business guides clients in activities not listed in our guide & outfitter application, submit this form and we will provide you with the appropriate application to fill out and submit.

Read Before You Start!

If your guide services are listed below, click here to submit our guide & outfitter application.:

Hunting, Fishing, Hiking, Backpacking, Nature Trips, Birding, Nature Photograph, Canoe, Kayak, Float Trips (non-fishing) or Outdoor Education.

"*" indicates required fields

X/Twitter

This field is for validation purposes and should be left unchanged.

Name*

First Last

Date of Birth*

Email Address*

Daytime Phone #*

Address*

Street Address Address Line 2 City ZIP / Postal Code

State*

Business Name

This field is hidden when viewing the form

State*

What type of business do you need liability insurance for?*

Type of Guide Services You Offer*

Quickly describe all of the different types of guiding services you intend to offer your clients.

Other Liability Insurance*

Let us know what other type of business you need liability insurance for.

Current Insurance?*

Who is your current carrier?*

What date would you like coverage to start?*

What is your policies effective date?*

This field is hidden when viewing the form

Policy Renewal Date*

Month and year is all we require at this time.

How did you hear about Cross Current Insurance?*

Which one?*

Tell us how you heard about Cross Current*

Add your referrer's full name:*

As a thank you, your referrer will be added to our next quarterly drawing to win a cool prize!

Are you a member of an association?*

Which association?*

CAPTCHA

Outdoor Adventure Guide Application

This form is for outdoor adventure guide services not listed in our Guide & Outfitters application.

Read Before You Start!

Did somebody say cookies?