The    British Association Of Therapeutic Touch
Registered Membership Application Form
Please print out this form and forward a copy of the completed form, together with your cheque (made payable to "BATT") for payment to:
David Lewis, GENERAL SECRETARY BATT
3 Union Street,
Carmarthen,
CARMS,
SA31 3DE

Tel.: 01267 232715
Email:davidedgarlewis@btinternet.com
FOR OFFICE USE ONLY
Insurance seen:......... Date:...........
Qualifications:........... Date:..........
Registration Number

PLEASE USE BLOCK CAPITALS TO COMPLETE THIS FORM

Title: Mr/Mrs/Miss/Ms:

 Date of Birth:
Email address:
First Name: Surname:

Address:

 
Professional Background and Qualifications:
 
UKCC Pin No: Other professional body/registration no:
Where did you train for TT?
Date(s) of training: Current area of practice:
If training was not with an approved course - please supply a curriculum of training and other evidence which you wish to submit in support of the application:
 
Indemnity Insurance provider: Renewal date:
Please give details of any other therapy or healthcare work in which you are involved:
 
I have read and understood the code of conduct of BATT and confirm that I meet the criteria set out for registration. If elected I agree to be bound by the Constitution of the British Association of Therapeutic Touch and to conform to its Code of Professional Conduct.
Signature: Date:
The registration fee is £15.00 and is valid for 3 years.
NB
 1. Please make your cheque payable to 'BATT'.
2. COPIES OF INSURANCE DOCUMENTS AND QUALIFYING CERTIFICATES MUST BE ATTACHED (Applications cannot be processed until received).
Please state name to be on R.P.T.T. certificate: