Recurring Membership Form

Recurring Membership Form

Phone: (242)557-2209 Email: bcba242.reg@gmail.com or bcbainquiry@gmail.com
This form is completed by all recurring members to update records of membership annually and members information along with educational achievements. Membership dues for 2026 is $150.00 and students $75.00. Information for Chapter, Distributors and Institutions please contact BCBA.
Date*

MonthDayYear
Date
Gender*

MaleFemale
Name*

PrefixFirst NameMiddle NameLast Name
Birthday*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
Nationality*
NIB #*
List Medical Conditions or Allergies*
If none, state none.
Membership*

Post-Secondary StudentProfessionalOther
Occupation (Waxing and facial applications please select Esthetician)*

CosmetologistBarberNail TechnicianEstheticianMassage TherapistTattoo ArtistMake-up ArtistNatural Hair/ BraidersOther
Place of Employment*
If student give the name of the beauty trades school you are enrolled in. If self employed give the name of the business.
Position at Work*

Post-Secondary Student (Intern)EmployeeSelf Employed/ OwnerSelf Employed/ Booth RenterBeauty InstructorOther
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Number*
Please enter a valid phone number.
Business License #*
If applicable, if not place 000
Emergency Contact Name*

First NameLast Name
Relationship *
If applicable, if not please state Not Applicable.
Phone Number*
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
Do you need a Product Merchandise Form? (BCBA paraphernalia)*

YesNo
Payment (Payments made by bank transfer incurring any additional bank charge will be paid by the member).*

CashBank Transfer
Recurring Membership Advantage*

Payment PlanNot Applicable
Before submitting, please recheck your information to ensure that it is accurate. Take a photo of this portion or a screen shot to have documents prepared. As a mean of updating our members records please provide the following documents with one copy of each item and the original documents present on varification day. All documents are to be uploaded below.

1Passport Photo ID (Copies not required)

Passport

N.I.B Card

Work Permit(if applicable)

Certificates

Instructor Certifcation (if applicable)

First Aid & CPR (if card is valid)
I First Name Last Name a resident of blank on the island of Type a label being desirous to continue the membership with The Bahamian Cosmetologists and Barbers Association hereby apply to be readmitted as a member thereof, of the class specified above, subject to the rules and regulations of The Bahamian Cosmetologists and Barbers Association.
Signature*

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Recurring Membership Form

This form is completed by all recurring members to update records of membership annually and members information along with educational achievements. Membership dues for 2026 is $150.00 and students $75.00. Information for Chapter, Distributors and Institutions please contact BCBA.