NRRI MEMBERSHIP RENEWAL FORM 2026

National Register of Reflexologists (Ireland)

Application

for

MEMBERSHIP

RENEWAL
General Notes for Applicants:

1. Please aim to submit as much information as possible to support your application.

2. If you wish to include any additional information which is not included in this form please use field 'ADDITIONAL INFORMATION' just before signature page.

3. Fields marked as * are mandatory. Application cannot be submitted without them.

4. Please enter N/A in required fields which are not relevant in your application.

5. Copy of your Practitioner's Diploma is NOT REQUIRED!

6. Professional Insurance is REQUIRED, if you wish to be listed on our website for referals and private health insurance accreditation.

7. First Aid Course is NOT REQUIRED, but optional (It will give you 25 NRRI CPD credits).

8. Certificates of Post-graduate training/Other qualifications, are NOT REQUIRED, but annual submission is recommended to keep you CPD Record accurate.

!Tip1: prepare all files you wish to upload before starting the application ;-)

!Tip2: make sure that scans and/or photos are in good quality and readable!

9. Make sure to choose Correct Fee to avoid complications.

10. The Payment section is at the very bottom of the form in Section E. Insert your card details and scroll up to Section D and Review the Answers.

10. When Sections A+B+C+E are done, go back to Section D, and click REVIEW ANSWERS! Only then you can SUBMIT your application.

11. Please allow 1-5 working days for the NRRI Registrar to process your application. You will be notified by email.

13. If in doubt, don't hesitate to contact Registrar on 086-8159855

Full Name*

First NameLast Name
NRRI MEMBERSHIP NUMBER*
(XXXX:XX)
Email*
example@example.com
Tick the Box Below, and you can Skip this part if your contact details have not changed since the last Renewal. Otherwise, fill out only the details you wish us to Update.
"There were no changes in my contact details since my last Membership Renewal"

Yes, I confirm
Work Email, if different
example@example.com
Phone Number
Please enter a valid phone number.
Work Phone Number, if different
Please enter a valid phone number.
Correspondence/Home Address

Street Address

Street Address Line 2

CityCounty

Eircode
Registered Trading Name
(Must be registered with CRO
Work Address, if not working from home

Street Address

Street Address Line 2

CityCounty

Eircode
Business Website Address (optional)
Full URL, e.g. https://www.xxxxxxx.xxx
Business Instagram Profile (optional)
Full URL e.g. https://www.instagram.com/xxxxxx
Business Facebook Profile (optional)
Full URL e.g. https://www.facebook.com/xxxxxx

1. Please upload copy of Professional Indemnity Insurance certificate (for website listing)

(Your Professional Insurance Certificate / File preferably as .PDF or .JPG)
Cancelof
2. Please upload copy of valid First Aid Course certificate (optional)

(Your First Aid Certificate / File preferably as .PDF or .JPG)
Cancelof
3. Please upload copies of certificates of other qualifications/post-graduate training (for NRRI Continuous Professional Development Programme)(optional)

(Copies of certs and diplomas / File preferably as .PDF or .JPG)
Cancelof
ADDITIONAL INFORMATION:
(If you wish to add information that is not included in this application)

Part C - Declaration & Signature

Please read, tick a box and sign/date this section
Declaration:

"I accept that the NRRI is an autonomous regulatory institution and undertake to comply with its rules and regulations and terms and conditions of membership.

I understand that NRRI membership is subject to annual renewal and can be withdrawn or suspended at any time at the sole discretion of the Registrar.

I undertake to comply with the NRRI Code of Ethics and Professional Conduct as a condition of my NRRI membership.

I enclose a copy of my Professional Insurance and wish to be listed on the NRRI website.

I agree to receive occasional email with information, news or training suggestions.

I hereby apply for renewal of my NRRI Membership."
Please tick here:*

Yes, I declare.
By signing this form "I certify that the above facts are true to the best of my knowledge and belief, and I understand that my Membership will be rejected in the event the above facts are found to be falsified. "I hereby Apply for the Membership Renewal".Applicant's Signature*

Powered by Jotform SignClear
Date of submission:*

DayMonthYear
Date

Important: To SAVE your PROGRESS, please -> click on SAVE button -> click on Skip Create and Account -> Enter your EMAIL and -> click SEND! You will receive an email with link to CONTINUE your submission!

To SUBMIT press REVIEW ANSWERS then CONTINUE.

Part E - Payment

You can use your Debit/Credit Card or PayPal account. Enter your card details and SCROLL UP to REVIEW ANSWERS!
Membership Fees (2025)*
prevnext( X )
FULL MEMBERSHIP RENEWALFor therapists practicing professionally.
€140.00

ASSOCIATE MEMBERSHIP RENEWALFor those wishing to practice in a non-professional capacity.
€50.00

Total

€0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Tick the Box Below, and you can Skip this part if your contact details have not changed since the last Renewal. Otherwise, fill out only the details you wish us to Update.

Part C - Declaration & Signature

Part E - Payment