USDA DANCERS INSURANCE PROGRAM


 


 

THE WORLDS LARGEST SQUARE DANCE ORGANIZATION


THESE FORMS ARE FOR USE BY USDA AFFILIATE INSURANCE CHAIRMEN.

PLEASE USE THESE ELECTRONIC TEMPLATE FILL IN FORMS OR PRINT AND FILL IN THE ADOBE.pdf FORMS.

The Insurance Enrollment Form and Federation or Association Club Enrollment Form with Club Roster MUST BE MAILED With Enrollment Check.

The Additional Dancer Enrollment form MUST BE MAILED With Enrollment Check.

Insurance Program Instructions/Information ADOBE. pdf FORMAT MS WORD (Read Only File)
Federation or Association Club Enrollment Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Club Roster Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Club Members Insured Through Another Club Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Insurance Enrollment Form (Insurance Chairmen Only) ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Additional Dancer Enrollment Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Inspection of Premises Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Event Notification and Group Travel Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Request for Certificate ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Club Sponsored Class Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Club Accident Procedures ADOBE. pdf FORMAT MS WORD (Read Only File)
Accident Report Form ADOBE. pdf FORMAT MS WORD TEMPLATE, FILL IN FORM
Part 1 and 2 Information ADOBE. pdf FORMAT MS WORD (Read Only File)
Insurance Program Information Trifold ADOBE. pdf FORMAT  
Dancers Code of Ethics and Conduct Trifold ADOBE. pdf FORMAT  
USDA Officers and Committees Trifold ADOBE. pdf FORMAT  

FOR INFORMATION ABOUT USDA PROGRAMS, e-mail at: usda@usda.org

OR CONTACT OUR

INSURANCE COORDINATOR
PAT INGLIS
P.O. BOX 22
TUCKER, GA 30085-0022
(404) 298-6148 FAX: (404) 298-6149
or by e-mail at: usda.insurance@usda.org