Association Application Form

Association of Massage Therapists Scotland

Membership Application Form
Name * *

First Name Last Name
* This information will be used in the Find a Therapist database
Address * *

House Name/Number

Street

Town/City

Postcode * (To be used in the Find a Therapist database)
E-mail * *
Mobile Number

Area Code Phone Number
Phone Number

Area Code Phone Number
Work Number * *

Area Code Phone Number
Website *
I wish to apply for the following category of membership *

Student Full (must be qualified to Remedial and Sports Massage or above. Only full members will be entered on the Find a Therapist database)
Which of the following qualifications do you hold *: *

Orthopaedic Massage and Manipulation Advanced Remedial Massage Sports Therapy Remedial and Sports Massage Swedish/Holistic Massage Cranial Sacral Dry Needling
Which of the following treatments are you trained to perform *:

Neurodynamics Kinesio Taping Gait Analysis Cranial Mobilisation Positional Release Myofascial Release Muscle Energy Technique Peripheral Manipulation - Lower Limb Peripheral Manipulation - Upper Limb Active Isolated Stretching
CPD (Continued membership requires 20 hours of coursework/workshops each year.
Qualifications gained within the last year (1 Mar - 28 Feb)
CPD Courses/Workshops attended within the last year (1 Mar - 28 Feb):
Please enclose a copy of your highest qualifaction and all course certificates gained within the year. *

Browse Files

Cancel of
CPD Requests. I would like workshops on the following to be run:
I am happy to receive information on forthcoming courses and other relevant information

Yes No
Signature

Clear
Date

Day Month Year
Date

Payment

Membership £ 10.00

Credit Card

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Association of Massage Therapists Scotland

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