Register

Please use this registration form if you want to pay by Paypal account, if you would like to pay using Bank Transfer that please use the this registration form here

All fields marked with a * are required and must be filled in, if you have any questions please use the contact form here to check before submitting the form.

Thank you

IASK Team

Username*
Main Contact Person First Name*
Main Contact Person Last Name*
Password* Minimum length of 6 characters.
The password must have a minimum strength of WeakStrength indicator
Repeat Password*
Member Type
Please choose your membership type from the list below
Student Membership - Free / 6 Months
Student membership is for those who have just begun their discovery of Specialized Kinesiology and Muscle Response Testing. Students may take advantage of one year free membership. After that time, they have the option to continue with another level of membership (eg: upgrading to Specialized Kinesiologist Member). Student members do not have the option to vote at the AGM or serve on the Board. Free
Honorary Fellowship - Free / 1 Year
Offered by the Board of Directors for outstanding contribution to IASK and the field of Specialized Kinesiology [Art. 6 a]. Free
Country of Residence* Where you are working
Languages spoken Languages spoken
Date of Birth Date of Birth
Work Address Please add your address here
E-mail*
Primary Phone Number* Please use numbers only with no spaces
Directory Information Please tell us here what you would like to appear in your directory entry.
Modalities Used Tell us which Modalities you use.
Modalities Taught List Modalities Taught here
Additional Information Additional Information you would like included on your Directory listing
Associations you belong to Associations you belong to
Directory Website Information Please put your website address here if you wish people to look at your website
Social Media links (optional) Social Media links (optional)
Attach PhotoUpload
Attach Photo
I allow the website to collect and store the data I submit through this form.*
Newsletter Subscribe

Select a Payment Method

PayPalCredit / Debit Card

No payment methods are available for the selected subscription plan.

Payment Details

Billing Details
Billing First Name*
Billing Last Name*
Billing Email*
Billing Company
If entered, this will appear on the invoice, replacing the First and Last Name.
Billing Address*
Billing City*
Billing Zip / Postal Code
Billing Country*
Billing State / Province

Send these credentials via email.

Member Type

Select a Payment Method

Payment Details

Billing Details