Energy Kinesiology Membership Renewal Application
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Name: Street Address: Address: City: State: Zip: E-mail: Telephone: Fax: What is your website:   More info? Click Here Membership Options: Student:$50 Having less than 200 hours of educational training Associate:$50 Interested in Kinesiology & wishing to support Professional:$100 200 hours of Kinesiology training or a practitioner/teacher of an organizational member Certified Professional:   Level 1     $125   Level 2     $150   Level 3     $175 New Member Category . . . . Click here for qualification description Organizational:$200 Organizations teaching and utilizing Kinesiology Please Select Your Membership Option: Student Associate Professional Organizational Certified Professional Level I Level II Level III   Please read the Ethics statement below and enter your Initials in the check box below.     This Code of Ethics is a summary of the general principles of acceptable, ethical professional behavior within the Energy Kinesiology community. Within the many different schools of Energy Kinesiology, we all share a common foundation: to provide services that promote the greatest good for the client. In my willingness to promote awareness of ethics within the kinesiology community, and myself, I will do my best to: Conduct business and professional activities with integrity, in a professional, honest, and fair manner. Perform only those services for which I am qualified and represent my education, certifications, professional affiliations and other qualifications honestly. I will make a referral, when appropriate and if possible. Acknowledge the inherent worth and individuality of each person by honoring clients’ and students’ religious, spiritual, health, education, political and social views, and life choices, not discriminating against, race, creed, color, gender, and sexual orientation. Accept responsibility to maintain my physical, mental, emotional and spiritual well being. Refrain from diagnosing, prescribing, or treating any medical disorder unless licensed to do so. Strive for professional excellence through ongoing assessment of personal strengths, limitations and effectiveness, and by continued education and training. Abide by all applicable laws governing Energy Kinesiology. I shall consider working for the repeal or revision of laws detrimental to the legitimate practice of Energy Kinesiology. Acknowledge the confidential nature of the professional relationship with my client. I will respect each client’s right to privacy, disclosing confidential information only when either authorized by the client or mandated by law. Respect the professional status of other Energy Kinesiologists and other health care practitioners. Additionally, I acknowledge that my own development, personally and professionally, enhances the value of what I am able to offer to my clients and students The foundation of ethical conduct is being mindful of and discerning in my thoughts, feelings, words and behaviors. I will strive to include mindfulness and discernment in my personal and professional goals. In the conduct of my business and association, I am and continue to be guided by the above ethics. Entering my initials in the adjacent box signifies I have read and agree to be guided by this ethics statement.     Please fill in any changes to your practice description that will be included in the membership directory.   Please select your payment method.    I am: Sending in a Check Paying by PayPal Calling with my Credit Card info Number to call in Credit Card: 727-857-1748 You will now be taken to the Payment Page. Your payment will be processed thru PayPal. Please note you do not have to be a PayPal account holder to use this form of secure payment. Press when you are finished, or, press  .   * This Field Is Required