RDC Travel Form - Proof of Insurance for Teams

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This form is to provide proof of insurance to another team or league in or outside of Canada.
As of January 2024 there will be a cost for each day of $4 per person per day for skaters playing roller derby outside of Canada. This is a special rate offered by Roller Derby Canada.

RDC travel insurance is only for use if you are playing with the Canadian team you are registered with. For skaters travelling as a single to boot camps, Rollercon, or attending a world cup event please use the RDC Travel Form - Individual Skaters travelling Out of Country.

RDC does not cover skaters crossing the border to play on a USA team.

Email *

Name of person filling out this form *

Name of the league applying for certificate. *

Name of League (team you are playing) requesting the Certificate and Address *

Location of Event *

Please provide the dates you are skating out of Country. *

What type of event will you be attending:

Please provide the name of the event if applicable.

Please provide each skaters Membership# and REAL name you need on the certificate use a comma to seperate. Please fill out the form for your whole team, including skating coaches, and skating officials. *

List any other email addresses that require a copy of this certificate.

Once we have processed your membership, we will send an invoice for the full league. Please provide a contact name and email so we can forward the invoice to the appropriate person.

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