Membership Signup Form

Approximately 10 minutes to complete

Thank you for your interest in joining the Canadian Concussion Network-Réseau Canadien des Commotions (CCN-RCC). To join the network, please complete this form.

We will use the information you provide for the following purposes:

  • To understand and describe, on aggregate, the CCN-RCC’s membership
  • To assist in setting ongoing priorities for the CCN-RCC
  • To notify you of opportunities to participate in the work of the CCN-RCC
  • To send you member communications, such as network updates and Annual Meeting information
  • To create your CCN-RCC member profile to be included on the CCN-RCC website

If you have questions or have problems with the form, contact

(e.g., undergraduate student, graduate student, post-doc, resident)

Do you consent to receive CCN-RCC member communications, such as network updates and Annual Meeting information?

The CCN-RCC is collecting demographic information from members as a means to support our commitment to reach an equitable, diverse and inclusive membership. This information is voluntary, confidential, and will not be visible on your member profile.

For questions, concerns or more information about the collection, use or disclosure of your personal information, please contact

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