Application Instructions

2018 Insurance

Please be sure to include all information requested below, it is required by USDA to process applications.


Club Roster: Names of dancers paying Insurance through your Club should be on this form, it should be signed, dated, and title of person signing form along with number of members at bottom. 3 copies


Club Members Insured through another Club: Names of dancers that are members of your club and pay the insurance through another club, along with the name of the Club they pay through. 3 copies


Additional dancer Enrollment form: This form is for new members added after the initial enrollment. 3 copies


Inspection of Premises: This form should be filled out and kept on the premises at all times during a dance.


Event notification and group travel: This is for Special dances other than regular dances, Nursing Homes, Demonstrations, etc. Group Travel would have to be at least 10 in a Commercial Vehicle with a Commercial License driver. I need to know when, where and the location.


Request for Certificate: This should be filled out if you dance in a different location other than your regular dance location. If you dance in one place and have a special dance at another location. 1 copy


Club Sponsored Class: a list of the names of Students should be sent as soon as the class is started. 3 copies.


Accident Report Form: This form should be sent within 24 hours of accident. Call to report ASAP then send the form. 843-651-6696 or 864-980-9889.


Necessary Insurance Information should be filled out and sent along with the forms. This should include Club name, place of dance, day of dance, address of club dance, and Caller/Cuer. The President and their address and phone number along with the Federation Rep, Vice President, Secretary, and Treasurer and their addresses and phone numbers. You can use the form from the "Necessary Insurance Information" link. This you only need to send 1 copy.


The cost for 2018 is $4.75 per person. No payment is required for students or members covered through another club. If a club has 1 to 9 members, the fee will be $45.00, and if a club has 10 or more members the fee is $4.75 X number of dancing members to be insured. DO NOT INCLUDE THOSE DANCERS COVERED THROUGH ANOTHER CLUB. Club dues are $20.00 to be sent at the same time.

Make check payable to: S C Square and Round Dance Federation and mail completed forms with correct amount of copies to:

S C Square and Round Dance Federation
Mary and Joe Davis
1520 Coral Reef Lane
Murrells Inlet, SC 29576