Oregon Federation of Square and Round Dance Clubs
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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 $4.75 per new dancer to:
Kay Rogers
59450 Barr Ave
St Helens, OR    97051

If you would like to receive a copy of the report, enter your email address below. Otherwise, the email address is optional.