QUICK Indication Request

DISCLAIMER & NOTICE:  All information contained herein is subject to change at any time. This indication request form, representations and other information herein; in no way represents or warrants a guarantee of coverage.  The indication is provided on a NON-binding basis. A confirmed rate insurance quote will only be provided until the full online application is received, reviewed and accepted by underwriters. The non-binding indication terms and conditions can be changed, modified or withdrawn at the underwriters' sole discretion without any obligation or liability to offer coverage.  The Risko Strategies, LLC/SPORTIFY or its Affiliate Brokers will not be held liable to anyone in connection to the misuse or misrepresentation of the contents herein. Indication request MUST be made by a person 18 years of age or older.

Sportify Scholarship Insurance Estimate

NON-BINDING INDICATION REQUEST FORM

APPLICABLE ONLY IN THE STATES OF: CA;CO;CT;FL;GA;NJ;NY;NV;OH;OK;PA;TX;VA Complete these 6 questions in order to receive a non-binding, rough estimate cost of insurance. The indication is NOT an offer an insurance.
  • Select the Sport for which athlete seeks scholarship insurance (offer/commit/award) protection. Dual sport athletes MUST complete an indication form for each covered sport.
    Select the description that bests describes your current recruitment status
  • Type the name(s) of the college(s) for which the student athlete is considered a scholarship recruit (received offer/ commitment or signed NLI) or college, which the athlete currently attends under athletic scholarship.
    Specify if target college(s) is for a student athlete who is currently in high school or if college is the current institution of a college scholarship athlete.
  • Enter only City; State & Zip code
  • (we do NOT spam and do NOT sell or share ANY contact information)
  • We value your interest and wish to assess effective ways to raise the product concept awareness. Please select your response from choices herein.
  • This field is for validation purposes and should be left unchanged.