Register as a Member

To register as a member of the Academy of Care practitioners, please complete the following membership registration form (see membership Terms & Conditions). All registrations are processed by our admin team within 24 hours, and you will be contacted personally to make your membership payment and confirm your registration. Membership costs £10. All fields marked * are mandatory.


Personal Information


First Name: *
Surname: *
Date of Birth: *
Sex: *
Address 1: *
Address 2:
City/Town/Village: *
County: *
Postcode: *
Email Address: *
Home Tel: *
Mobile:

Employment Information


Current/Most Recent Employer: *
Address 1: *
Address 2:
City/Town/Village: *
County: *
Postcode: *
Which part of the sector do you work in? *
Which qualifications do you hold? *






Membership Paid By: *