CPON Membership

If you would like to join the Cerebral Palsy Outreach Network to be on our contact list, please fill out the information below.  Parents and adults may have concerns about privacy issues.  We are sensitive to this issue and can assure you that we maintain confidentiality for all names and information submitted to CPON.  If you encounter any problem with registering online please print this page and mail to:

CPON (Cerebral Palsy Outreach Network)
909 Fee Hall Room B601
Department of Epidemiology
Michigan State University
East Lansing, MI  48824
Phone: 517-353-8623 x116  
cpon@epi.msu.edu

Thank-you for your interest in CPON!

Please fill out the information below

Date of Birth

Child's Birthplace (State)



Address:




 

Phone Number Including Area Code

 

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CPON The Cerebral Palsy Outreach Network
Copyright 2017 | The Cerebral Palsy Outreach Network | Michigan State University | 909 Fee Road | Room B601 | East Lansing, MI 48824