CONTACT

Insurance papers

 

Ouch!

An accident is soon happened …
Click here to download the insurance papers.

A completed document you can send it to Ethias.
If something still need to fill out insurence, send us the document (on the Secretariat or through the teacher).
You can also scan and email us at info@cirkusinbeweging.be.

Page 1 or 3 should be filled in by victim or older.
Page 2 to be completed by the teacher.
Page 4 must be filled out by the doctor (a copy of the report of the doctor, intended for the insurance is also good).

Physical accident declaration form

For more info, contact info@cirkusinbeweging.be