Online Membership/Renewal

The Association for Treatment and Training in the Attachment of Children is a non-profit organization committed to education, training, and advocacy for all parties interested in attachment and bonding issues. Please consider becoming an ATTACh member and/or making a tax-deductible donation to ATTACh.

ATTACh does not knowingly accept members who have been convicted of a criminal offense against a child. Professional members must agree to abide by the ATTACh Professional Practice Manual and their respective professional organization's code of ethics. Non-clinical members are expected to exercise good judgment based on the best interest of the child and family. See ATTACh Position Papers .

By submitting this membership form: I declare that I have read and understand the above statements, I declare that I have never been convicted of a criminal offense against a child, and I acknowledge my agreement to abide by ATTACh's standards and policies.

Please fill out this form and submit it.  You will then be taken to view your payment options.  A printable mail in membership form is also available.

Membership is based on ATTACh's fiscal year of July 1 - June 30, therefore membership dues must be renewed on July 1st.

Please take a moment to fill out the following information and return to the ATTACh office. This will help us serve you better and increase the involvement of the membership in our activities.

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Website

Check what best describes your main status (may choose one in each category):
Professional Category -- Psychologist Psychiatrist Social Worker Therapist Administrator Case Worker	Parent/Other Category -- Student Foster Parent Therapeutic Parent Adoptive Parent Parent of child with attachment problems Other (please specify, i.e. educator, below) Other -- Please Specify:
Please choose which type of membership you would like.   See Types of membership.
Non Clinical Registrations Non clinical registrations may be submitted through this form and be accompanied by your registration fee.   -- Parent/Student/Advocate $55 Annual Fee Professional Associate $150 Annual Fee Advocate Organization $350 Annual Fee Employee of Advocate Organization $70 Annual Fee Newsletter Only $40 Annual Fee		Clinical Registrations Clinical registrations must be accompanied by this form, your registration fee, and the completed clinical registration packet. -- Registered Clinician $175 Annual Fee + $25 for new applicants Registered Organization $400 Annual Fee + $25 for new applicants Employee of Registered Organization $80 Annual Fee
Year you first joined ATTACh:		Date of this renewal:
How would you prefer to be contacted?	Email               Phone
All members of ATTACH will be listed in the Membership Directory which is available to all members online on the Member’s Only site. I do not wish to be listed in the Membership Directory. I do not wish to be listed on the ATTACh website.
How did you hear about us?	Parent Foster Parent Therapist Psychologist Psychiatrist Social Worker Case Worker Support Group School Advertisement Search Engine Link from another site Other
I would like to work on the following committee(s):	Membership Newsletter Conference Marketing/Fund Development Research Education Other - Please Specify Other -- Please Specify:
My area of specialization and level of training are:
Additional comments or questions.

 

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ATTACh
P.O. Box 533
40 Cleveland
Lake Villa, IL 60046
Phone 866-453-8224
Fax: 847-356-1584
questions@attach.org

Copyright © 2008 ATTACh (Association for Treatment & Training in the Attachment of Children)