Teacher ‘On Sabbatical’ Renewal – $140

An Approved Teacher ‘On Sabbatical’ is a teacher who is choosing to take a year off from teaching foundation trainings.  That teacher will continue to be listed on the BCTA/NA website to keep their Approved Teacher status, with ‘On Sabbatical’ replacing their contact info.

For a printable PDF, please click the button below:

Teacher ‘On Sabbatical’ Renewal Form

Please enter your information below to submit renewal form online.

If an Approved Teacher is choosing to be ‘On Sabbatical’ from their client practice also, he/she can renew as a Teacher ‘On  Full Sabbatical Leave’  with the membership renewal fee of $50.   ‘On Sabbatical’ will replace contact information on all listings on the website.  To renew online, click here.

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

Contact information

(for use by the organization)

First Name (required)

Last Name (required)

Your Email (required)

Address (required)

Address 2

City (required)

State/Province (required)

Country (required)

Zip/Postal Code (required)

Please note the best phone number for internal admin communications. Thank you.

Phone Number (required)

Information for all Referral Listings on the BCTA/NA Website
(Please note that your Teacher listing will have 'On Sabbatical' in place of 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)

Phone Number (optional)

Email (optional)

Website (optional)

RCST Self-Awareness/Self-Care Record

June 1, - May 31,

Record of Self-Awareness/ Self-Care Sessions

(Please include type of session, location, and date)

The BCTA/NA values self-awareness and self-care in relationship to professional therapeutic practices. Yearly, the records of, but not limited to, four (4) sessions are required and must meet at least one (1) of the Intentions listed below. In addition to meeting one of the Intentions, each session can be satisfied by one of the Session Options listed below.

Self-Awareness/ Self-Care Intentions:
· To Support and strengthen the practitioner in developing a presence that is clear, loving, and compassionate.
· To Enhance the self-awareness of personal issues that may interfere with holding the field with a client.
· To Create a safe environment for personal reflection and professional inquiry.
· To Support the practitioner with his/her personal process of inquiry.
· To Strengthen the professional’s ability to generate a holding field that creates a healing opportunity for the client.

Self-Awareness/Self-Care Session Options:
· One (1) hour of Individual consultation with an individual skilled in shadow and reflection work.
· One day (7 hours) of continuing education that meets one (1) intention listed above.
· Three (3) hours of group discussion (no more than 6 participants) with an individual skilled in shadow and reflection work.

Session 1

Session 2

Session 3

Session 4

Date

All Applicants

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

I would like to receive the yearly Cranial Wave Publication in the following format

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 by credit/debit card or eCheck, you will be immediately sent an email with the payment link attached.

If you are paying via check by mail (U.S. banks only please), please send to:

BCTA/NA
115 Williamston Ridge Drive
Youngsville, NC 27596
239-206-6078
Send Email

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.