New Membership Application

To make application for membership to the IBTA, complete:
1. Membership Application Form (see below or open as PDF)
2. IBTA Ethical Standards Form (your typed name sent from your email will constitute your signature).
3. (Optional) Practitioners/Training Programs only – Email a plain text copy of your 30 word bio or 60 word description to: helaine@breathworkalliance.com
4. Send a copy of completion certificate from your breathworker training (an email confirmation from your training program will suffice) and
5. An Equivalency Form if you are certified by a non IBTA approved training program.

Forward #1 – #5 electronically, or land mail to the IBTA Membership Coordinator

Helaine Iris
helaine@breathworkalliance.com
45 Stones Mill Rd.
Spofford, NH 03462 USA

5. Make payment via PayPal below or by US check or international money order.

You will be notified if your application is accepted (or if further verification is needed) and when your benefits will be forthcoming. See the Membership page

Membership Renewal Process

To renew your membership simply click on the payment link below for the category you are renewing. If you want to change categories, you will need to submit a new application.

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Online Credit Card Payment (new members: you must submit an application in addition to making your payment)

New Membership Application Form

Please check the category you are applying under:

____Affiliate Member:…..Supports IBTA principles and ethics
____Certified Practitioner:…..Conforms to IBTA training standards
____School/Training Program

Name:……………………………………………………… Date:……………………….
Address:…………………………………………………………………………………….
City:………………………………………………… State/Province:…………zip……….
Country:…………………………………….. Phone:…………………………………….
Fax:…………………………………….E-mail:……………………………………………
Website:…………………………………………………………………

Fee enclosed:
$200 USD – School Training Program
$100 USD – Certified Practitioner
$25 USD – Affiliate Member
If you are an IBF member deduct $25 for Certified Practitioner or School Training Program.

Payment by US Check or International Money Order. (Payable to: International Breathwork Training Alliance)
Payment by PayPal ( www.paypal.com ): Use: Jeremy.ibta@gmail.com
Application fee will be refunded minus administrative costs if membership requirements are not met.

School/Training Program: Please print out the following forms and attach to your application:
Documentation Form

Training Program Agreement

Practitioners/Trainers – Trainings Completed: (Attach extra pages as needed)
Years of training…… IBTA approved training: Yes…. No…. (if no, please attach Member Equivalency Form)
Name of Training(s)______________________________________________
Location_________________________________________________
Trainer(s)____________________________________________________
Dates__________________________ Hours___________________________
Attached is copy of completion certificate from your training or Equivalency Form if not IBTA approved____ To be sent____
Ethical Standards Agreement Form attached____ To be sent____

Practitioners are entitled to a 30 word biographical description, Schools, a 60 word description on the IBTA web site. Please email your description in plain text to helaine@breathworkalliance.com

I affirm that the above information is accurate and that I commit to continued practice as a breathworker according to IBTA standards.
Signature__________________________________ Date______________

IBTA application form should be printed out, filled in and sent to:

International Breathwork Training Alliance
Helaine Iris, Membership Coordinator
45 Stones Mill Rd.
Spofford, NH 03462 USA

IBTA Ethical Standards for Breathworkers

Adherence to a standard of ethical practice is a defining element of any profession. A code of ethics provides clarity and safety for the public and the practitioners regarding the purpose for their relationship and the boundaries within which they operate. Subscribing to a standard code of practice communicates to the public at large that breathwork is a valid, accessible and professional tool for healing and growth.

The following code of ethics for breathwork professionals was ratified in 2003 by the collaborative effort of some 22 breathwork schools and training programs around the world and amended by the IBTA Board of Directors in 2007.

All schools, trainers and practitioners who are Subscribers or Members listed on this IBTA site have signed the pledge to uphold these ethics. The Ethics Committee of the IBTA Board of Directors is available to advise and assist in a perceived breach of ethics by a breathwork professional.

1. Client Suitability.

a) Establish a client’s ability to utilize and integrate the results of a breathwork session.

b) Not discriminate on the basis of race, ethnicity, gender, religion, sexual orientation, age or appearance.

2. Contract with Clients.

a) Establish clear contracts with clients regarding the number and duration of sessions and financial terms.

b) Establish prior agreement with the client for the utilization of other techniques than breathwork during a session, e.g., touch.

c) Practice my breathwork skills primarily for the benefit of the client.

d) Maintain confidentiality of client information and security of records of client session content.

3. Practitioner Competence

a) Practice within my area of professional competence, training and expertise, make this clear to my prospective clients, and not make claims for my service that cannot be substantiated.

b) Continue to develop personally, practicing the technique that I offer to others while nourishing passion and reverence for my calling, and keeping a healthy balance in my work and self care.

c) Seek supervision and consultation when appropriate.

4. Practitioner/Client Relationship

a) Establish and maintain healthy, appropriate and professional boundaries, respecting the rights and dignity of those I serve.

b) Refrain from using my influence to exploit or inappropriately exercise power over my clients.

c) Refrain from using my breathwork practice to promote my personal religious beliefs.

d) Refrain from all forms of sexual behavior or harassment with clients even when client initiates or invites such behavior.

e) Provide clients with information about complimentary resources as appropriate.

f) Refer clients to appropriate resources when they present issues beyond my scope of training.

5. Practitioner Interrelationships

a) Maintain and nurture healthy relationships to other breathworkers.

b) Give constructive feedback to other Alliance practitioners who I believe have failed to follow one or more of the ethical principles. If this does not sufficiently resolve the issue, seek consultation with the most appropriate professional and/or civil authorities within my region for the protection of clients involved.

Signature:__________________________________ Date:________________________

copyright by IBTA 2005