JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Explore Membership Form (2023-24)
Please complete this online membership form and arrange payment of your fees as detailed - you can request an automatic copy of your response as part of the completion process. Please contact us if you have any issues or concerns.
(A PDF version of the membership form can also be found on our website at
https://www.weareexplore.org.uk/Join_Explore
for reference)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Second/Family Name
*
Your answer
Title (Mr, Mrs, Ms, Dr. etc)
Your answer
Previous Explore Member?
*
Yes
No
If you are a new joiner, where did you hear about Explore?
Your answer
Postal Address
*
Your answer
Postcode
*
Your answer
Primary contact number (especially for urgent contact)
*
Your answer
Secondary/Alternative contact number (if appropriate)
Your answer
Emergency Contact Details
(If agreed by them, you can give a friend/family name and number for us to contact in case of emergency)
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
