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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
$4.75 per new dancer to:
376 SE Needham St
Dallas, OR 97338
If you would like to receive a copy of the report, enter your email address
below. Otherwise, the email address is optional.