Your membership/Subcription

Please select the scheme you've been approved by

Your contact details

Confirm Email*

Joint member

First Name - 2nd Member
Last Name - 2nd Member
Date of Birth - 2nd Member

Contact Preferences

As a member of Shared Lives Plus, we keep your data in accordance with the General Data Protection Regulation (GDPR). We promise to only contact you about your membership and not share your data with third parties. You can opt out of our communications at any time, contact us on the details below.

We would like to keep in touch with you with relevant information about being a Shared Lives carer.
You can also keep up to date with our newsletter (every two weeks) with the latest news, policies and advice.

Please select how you would like to hear from us:

Pressing submit will take payment and we will ask your scheme to confirm that they have approved you as a Shared Lives carer.

Payment Information

Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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