New Member Application Form

Eltham Toy Library

New Member/Volunteer Application Form

Contact Details

First name: Surname: Email Address: Mobile Number:

Address:

Street Number and Street Name:

Suburb:

Postcode:

State:

Home Phone Number:

Membership Type:

Select your Membership Type:

Please provide some ID eg. drivers licence number

Health Care Card Number - Required for Concession Membership only

Membership Information:

How did you find us?

** How can you help?

Comments

Roster Preferences:

As we are a member-run organisation, you will be required to assist in the toy library 3-4 times a year. Please select your preferred roster day:

First Roster Pref:

Second Roster Pref:

Children:

If you have more than 4 children, please email us the details of your fifth and subsequent children.

I don't have any Children.

Child's Full Name:

Gender:

Date of Birth:

Child's Full Name:

Gender:

Date of Birth:

Child's Full Name:

Gender:

Date of Birth:

Child's Full Name:

Gender:

Date of Birth:

Agree and Submit:

I agree to the Terms and Conditions of membership set out by the Eltham Toy Library

I agree to the WAIVER, RELEASE AND INDEMNITY FOR BICYCLES AND SCOOTERS set out by the Eltham Toy Library

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