New Student Complimentary Membership Application

Your first year of student membership is complimentary. Please note that you will need to submit an Annual Student Renewal Form with your Renewal Fee of $35 US next year by May 31st.

A student is eligible for a complimentary membership with the BCTA/NA if they are currently enrolled in a foundation training taught by approved BCTA/NA teacher(s) that are present at all times, as currently defined by the Board, and will provide proof of training enrollment to BCTA/NA Administration if requested.

If you are applying between January 1st and May 31st, your membership will then extend to the next renewal year. If you have already graduated from your foundation training by then, we encourage you to apply for RCST® Membership.

For a printable PDF, please click the button below:

New Student Complimentary Membership Application

Please enter your information below to submit form online.

CONTACT INFORMATION FOR USE BY THE ASSOCIATION

First Name (required)

Last Name (required)

Your Email (required)

Address (required)

Address 2

City (required)

State/Province (required)

Country (required)

Zip/Postal Code (required)

Best phone number for you, so we can contact you if needed

Phone Number

FOUNDATION TRAINING INFORMATION

Please list all FoundationTeacher's names (required)

Training Start Date (required)

Training Completion Date (required)

All Applicants

I authorize the BCTA/NA to provide all communication for official organizational business to me via email, including the monthly E Newsletter and yearly Cranial Wave Publication PDF (I authorize paperless communication).

Comments

By submitting this form, you are agreeing that the information provided is accurate and that BCTA/NA can process your request as if your signature has been provided.