FabLab Coventry General Membership Form

We would like to get to know you a bit better so that we can give you the best experience with us. If you would like to find out if you can access free or part-funded courses please ensure you complete our funded courses form to see if you are eligible.

Name *

First

Last

Email *

example. name@provider.com

Telephone Number *

Address *

House Number and Street

Area / Ward

Town / City *

County

Post Code *

Gender *

Date of birth *

Employment Status *

Are you currently in receipt of any of the following benefits?

Ethnicity *

Do you have a self-declared disability or long term health condition? *

Would you like to opt in to

Regular communication and newsletters about upcoming events
To take part in research

If you would prefer to complete our membership form and see if you are eligible for funded courses, click here