Friends of APTA Membership Application

The Friends of APTA Membership is designed for any individual who shares interest in Polarity Therapy and supports the purposes of APTA.

Benefits of Membership

Networking with like-minded people
Volunteer opportunities
Monthly Newsletters
Membership discounts for APTA sponsored events and classes
Access to various articles and information about Polarity Therapy

Friends of APTA Annual Membership Dues: $50

Establishing APTA Membership

Eligibility for Application

Applicants must be 18 years of age

The Application Process

Complete the form below.
Upload a copy of a document showing proof of age such as a driver’s license.
Pay the required annual dues.

APTA may request additional information to complete the application process.

After materials are received, applications may take up to 7 business days to complete the registration process. Upon approval, you will receive a New Member Welcome Packet and your information will be entered into the APTA database.

Maintaining APTA Membership

APTA membership is valid for one year. A renewal notification will be sent by email one month prior to the renewal date. Membership is on a “rolling admissions” basis, a member who joins September 1 will have membership through Aug 31.

Basic Information

First Name *

Last Name *

Also Known As:

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Phone *

Email Address *

Business Name

Website URL

Date of Birth *

Tell us a little about yourself (profession, licenses, certifications, skills) *

How did you hear about APTA and why are you interested in becoming a member? *

Applicant Agreement and Signature

I hereby submit my application to the American Polarity Therapy Association as a Friend of APTA. I agree to conduct myself consistent with the standards of professional conduct established in the APTA Code of Professional Ethics. I recognize that failure to do so may result in suspension or revocation of my registration. I understand that any registration granted by APTA does not imply or grant license to practice in any state or jurisdiction. I agree that APTA and its affiliates assume no responsibility for my actions or activities with regards to Polarity Therapy. I certify that the information given in this application is true.

Signature