Insurance Information Update Form

Use this form to add new dancers to your insurance coverage. Coverage is effective immediately, through the end of the calendar year. Please remember to send your check made out to OFSRDC for $6.00 per new dancer to:

Vicki Pounds
PO Box 61
Canby, OR    97013

Use insurance@squaredance.gen.or.us for questions or follow-up issues.

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