Personal Information

Title:*  Dr Mr Mrs Ms Miss
Name and Surname:*
ID/Passport number:*
Physical address (including code):*

Postal address (including code):


Home telephone number:
Work telephone number:
Mobile telephone number:*
Fax number:
Email address:*

Membership

Full membership - All members who have received their Diplomas and have done their six extra days of training. (Members will have to proof that they had done this by CSTA-SA as from the end 2005).

Student members – any member who has partly/is still studying Craniosacral Therapy. Students of other Institutions may also be registered as Student Members.

Full Membership by Association – Anyone who has studied with other Institutions, locally or overseas, or anyone who is interested in Craniosacral Therapy.

Honorary Membership - A member elected to privileges of membership in recognition of her individual standing, or past services rendered to the Association.

Member type:

Full member

Date final exam passed:
Supervisory year completed:
Name of school:
Practice address:
Note: please provide practice details as you would like it listed on the website e.g address, telephone number and email address

Post graduate seminars

Seminar topic Seminar date Seminar instructor

Student member

Name of school:
Modules completed:

Full member by association

Name of school:

Honorary member

Honorary member since:

Agreement

I hereby apply for membership of the Craniosacral Therapy Association of South Africa. I agree to to follow Code of Ethics of the Association.

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