New Membership Application

New Membership Application

$200.00

Membership Type
Select your BAA Membership Application:
Applicant Details
Surname*
Given Names*
Postal Address*
Suburb*
State*
Postcode*
Date of Birth*
Email*
Landline
Mobile
Clinic 1 Details
Street Address*
Suburb*
State*
Postcode*
Business Phone*
Clinic 2 Details
Street Address
Suburb
State
Postcode
Business Phone
Supporting Documents
Cert IV in Bowen Therapy*
Accepted file types: jpg, gif, png, pdf.
Professional Practitioner Award*
Accepted file types: jpg, gif, png, pdf.
Diploma of Bowen Therapy*
Accepted file types: jpg, gif, png, pdf.
Continuing Education (CEUs)
If the period since attaining your qualification is greater than 12 months please attach evidence of any current, relevant continuing education.
Accepted file types: jpg, gif, png, pdf.
First Aid Certificate*
A copy of your current Provide First Aid Certificate - HLTAID003 for Full and Accredited Member. For International Member, the minimum First Aid Certificate required by law in the country of practice.
Accepted file types: jpg, gif, png, pdf.
Professional Indemnity Insurance*
A copy of your Professional Indemnity Insurance - if not currently insured it is a requirement that a copy of PI Certificate be forwarded to the Association within 30 days of receiving notification of acceptance of membership. The minimum Professional Indemnity Insurance requirement is $2 Million per claim (or occurrence)
Accepted file types: jpg, gif, png, pdf.
Payment
Donations
I would like to donate the amount nominated to:
- Tom Bowen Legacy Trust Fund (Non tax-deductible)
- BAA Research Fund (Non tax-deductible)
Tom Bowen Legacy Trust Fund Donation Amount
BAA Research Fund Donation Amount
Dual Member Additional Fee
Price: $15.00
Product Name
Name
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New Membership Application

New Membership Application

Membership Type

Applicant Details

Clinic 1 Details

Clinic 2 Details

Supporting Documents

Payment