Membership
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Interests

Type of practice
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CASEM committees

Please indicate which committees you would be interested in:
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Sports interests

The Canadian Academy of Sport Medicine provides the names of physicians interested in sport medicine to National Sport Organizations for involvement in the medical care of athletes and sport coverage. If you are willing to have your name forwarded to these organizations, please indicate the sports you would like to work with.


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Membership Verification

I certify that I am a physician licensed to practice in  the province/state of and my registration number is
I am a postgraduate medical trainee or medical student.  * Please supply a copy of your medical school registration.
I am a senior member (retired from active medical practice) in the province/state of

Note: Life members and Honorary members are appointed.

Donation

Donation (tax deductable) :
Amount of Donation : $

Options

Membership with FIMS Yes I want to join the International Federation of Sports (FIMS) Medicine for $13.00 CDN through CASEM.
An individual membership is $50US. See the FIMS Web site for more information.
Name of Sponsored Member
Access to CASEM Membership Database  Check below if you DO NOT wish information to be distributed to:

National Sport Organizations or related associations
Others (i.e. Commercial)

 

Payment

Membership types

Active member $350
Postgraduate medical trainee $145
Postgraduate medical trainee with journal $225
Senior Member $225
Medical student $25
Chosen type
Method of payment

Comments

A receipt will be sent once information has been processed at National Office. Please allow 2-4 weeks.
THANK YOU FOR BECOMING A MEMBER OF THE CANADIAN ACADEMY OF SPORT MEDICINE!


I confirm the information submitted in this application form is true to the best of my knowledge.

Notes

Membership will be rendered invalid without refund or compensation of membership dues, if false information is provided. Membership will be activated once copy of medical license or medical school registration is received at the National Office A subscription to the Clinical Journal is NOT included with the student membership fee.

  
 

Upcoming Events

Timely Topics - Running Injuries Workshop, May 25th - Ottawa
Starting 2012-05-25 08:00:00 Full Details & registration
Become a Member

Contribute to the knowledge and continuing medical education in sport medicine

Donation

Your contribution is an asset for research in sports medicine.
 
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