Membership Application Form

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Phone*
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Email*
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I would like to apply for membership to the European Association for Regression Therapy to become a*
I study at or am graduated from one of the below mentioned training schools*
In case your choice was none of the below, please fill in your training school and (expected) graduation date. Our membership committee will then contact you as soon as possible to go through the steps of your application.*
in (expected) year of graduation*
Licensed / Accredited or Certified
- I am officially licensed or accredited as clinical psychologist.
- I am officially licensed or accredited as clinical psychotherapist or medical doctor.
- I am certified by IBRT.
- Not applicable.
Main reason for becoming a member.*
Please upload a copy of your certificate here, and all other related files
Drop files here or
Accepted file types: pdf, doc, docx, png, jpg, jpeg, mp4, mpeg, Max. file size: 20 MB.
Please leave any remarks or questions here, make sure that your e-mail address is mentioned above, so we can get back to you.*
In case you have any difficulties filling out this form, please contact us.

After your application has been accepted, you will receive a confirmation and an invoice for the membership fee. Invoices can be paid by bank transfer, credit card or Paypal. The cost of paying by Paypal is an additional 5 euro.

Resignation of membership needs to be addressed to the Board and send ultimately 3 months before the end of the business year. The business year runs from July 1 until June 30 of the next year. Check: My email address above is typied correct.
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