INDIVIDUAL MEMBERSHIP APPLICATION

Name

Country of Residence

Country of Professional Practice

Play Therapy or Therapeutic Play Certification/Qualification obtained (including by whom it was issued and in what year) or are working toward

Where did you obtain the majority of your Play Therapy/Therapeutic Play education?

If you selected "Other", please indicate the name of the Professional Association you are a member of, if any

I have read the IC-PTA bylaw and will adhere to the mission as long as I am part of the IC-PTA. I understand that the Board of Directors will review my application(bylaw PDF here)

Terms & conditions: The IC-PTA keeps the Personal Data as long as its retention is necessary in view of the purpose for which the data was collected, respectively to the extent that there is a legal obligation to retain it (normally 10 years). Once the purpose for which the Personal Data was collected has lapsed, respectively, the retention obligation established by law has expired, the IC-PTA shall provide for the permanent and secure deletion of the data or, alternatively, their anonymization.

Application requires two parts:

Part 1: Complete and submit this form.
Part 2: Pay membership fee of 50 CHF/€ via PayPal or credit card (note: you can pay by credit card using the PayPal link even if you do not have a PayPal account). Use the BUY NOW button to complete Part Two
NOTE: Individuals joining IC-PTA prior to Dec. 31, 2023, will hold the designation of Charter Member. Charter Members are provided the additional benefit of a 1-year introductory membership fee of 25 CHF/€.

Thanks for submitting your application! Use the BUY NOW button to complete Part Two. You will receive a welcome email in the coming days to verify application and fee have been received. Kindly check your spam folder as well.