Sign Up for CCB Blind Roadrunners Membership Please enable JavaScript in your browser to complete this form.Date *Name *Mailing Address *Street, City, Province and Postal CodeAddress (if different from mailing address)Phone *Email *Category (please check all that apply) *BlindVision ImpairedSightedVolunteerAuxiliary (member of another chapter)Youth (under 18)Language Preference *EnglishFrenchApproval from parent/guardian (if youth member)YesNoDate joinedDate of birth (for membership demographics)Submit