RCST ‘On Sabbatical’ Renewal Form

An RCST® ‘On Sabbatical’ is a practitioner who is choosing to take a year off from their practice and is not seeing paying clients.  That practitioner will continue to be listed on the BCTA/NA website to keep their RCST® status, with ‘On Sabbatical’ replacing their contact info.  He/she will also continue to receive the monthly email E Newsletters and our professional publication, The Cranial Wave emailed in PDF format.

For a printable PDF, please click the button below:

RCST ‘On Sabbatical’ Renewal Form

Please enter your information below to submit renewal form online.

Membership Renewal - $50

Please note that membership payments are not eligible for refunds. Thank you.

Contact information

(for internal use by the Association only)

First Name (required)

Last Name (required)

Your Email (required)

Address (required)

Address 2

City (required)

State/Province (required)

Country (required)

Zip/Postal Code (required)

Business Name

Please note that at least one phone number so we can contact you if necessary. Thank you.

Business Phone

Cell Phone

Home Phone

INFORMATION FOR RCST® CERTIFICATE

Please give the name to be printed on your RCST® Certificate (required)

Information for Practitioner Referral listings on BCTA/NA Website
Please note that the designation, 'On Sabbatical' will replace your contact information.

Name (required)
(as you would like it to appear on the BCTA/NA website)

Credentials (required)
(RCST plus 2 additional maximum)

City (required)

State / Province (required)

Zip/Postal Code (required)

All Applicants

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

I hereby agree and undertake to follow the Standards of Practice and the Code of Ethics of BCTA/NA in the practice of the Biodynamic model of Craniosacral Therapy. I understand the RCST® is the registered trademark of BCTA/NA members in good standing who have been granted RCST® status. The registered trademark symbol ® must always be used with the RCST® designation. I agree to refer to the work as Biodynamic Craniosacral Therapy.

Comments

Payment Options

Please let us know how you prefer to make your payment.

If you are paying via secured online payment, you will be immediately sent an email with the payment link attached. You will not make a payment with this form.

If you are paying via check by mail, please send to:

BCTA/NA
11006 Connally Lane
Raleigh, NC 27614
239-206-6078
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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.