Please remember you must have 6 or more teams to get the group rate.  Multiple sports of baseball, softball, volleyball, basketball apply.  Below is a PDF and Word Document for you to fill out.  Only need to use one of them, whichever you prefer.  

 

Fax # 804-733-2968

Email - support@chappellinsurance.com

Mailing address- 25807-A Cox Rd, Petersburg, VA, 23803

 

Download 2017 ENROLLMENT FORM.pdf

 

Download 2017 ENROLLMENT FORM.doc