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Membership and Subscription application

Please ensure you have read the Youth Access Values and Core Principles before completing this application.  Members are expected to support and abide by these principles to be eligible for membership.

Once completed, you can submit the form directly to Youth Access by selecting the "send" button at the foot of the form.  Alternatively you can print this page and complete a hard copy and send to our office address.  If you have included an email address, we will send you a confirmation of your application. 

Membership is on an annual basis, and will commence on the date your application is processed.  You should expect to receive details of your membership within 14 days.

Please ensure you indicate clearly whether you are applying for membership or for a subscription.  For accessibility, all boxes within these sections have been checked by default, you should therefore uncheck all options you do not require.

All information entered below is treated confidentially. As part of membership we use contact details to notify members of reduced cost training and other benefits. Individuals can opt in or out of these communications at any time.


For a list of Membership benefits, click here.

For details of Membership packages and prices, click here.

 

Organisation Details:

Full membership :



Please supply details of any colleagues within your organisation who would like to receive monthly e-bulletins:

Additional Details 1:

Additional Details 2:

Additional Details 3:

Additional Details 4:

Invoice Details: