Albion and Friends Community Toy Library
New Member Application Form
Primary Contact
First Name:
Surname:
Mobile:
Email:
Second Borrower:
First Name:
Surname:
Mobile:
Email:
Member Type:
3 month "trial" membership requires voucher : $ 0.0
Access certain benefits, unable to borrow : $ 10.0
STANDARD: 3 toys at a time : $ 35.0
STANDARD (Conc): 3 toys at a time : $ 18.0
SUPER: 6 toys at a time : $ 50.0
SUPER (Conc): 6 toys at a time : $ 25.0
LOTE:
Australian
Italian
Vietnamese
Other
Child Name:
Gender:
M
F
Date of Birth:
Child Name:
Gender:
M
F
Date of Birth:
Child Name:
Gender:
M
F
Date of Birth:
Address:
Suburb:
Albanvale
Albion
Ardeer
Braybrook
Burnside
Cairnlea
Caroline Springs
Deer Park
Derrimut
Kealba
Kings Park
Not In List
Ravenhall
Rockbank
St Albans
Sunshine
Sunshine North
Sunshine West
Sydenham
Taylors Hill
Truganina
Other or not listed
Pcode
State:
ID Card and number: (Drivers Licence Number, medicare card):
How did you find us?:
Albion Primary School
Facebook
Letterbox Flyer
Maternal Child Health Nurse
Member
Neighbour
Newspaper
Other
Playgroup
Previous Member
Toy Libraries Australia
How can you help? (select more than one)
Toy Purchasing and Processing
Fundraising and Events
Marketing and Communications
Distributing posters to community businesses
Administration and Finance
Website and IT Support
I want to help but I`m not sure how! Please contact me
Graphic Design
Clear
Conditions of membership
By clicking yes I agree to the conditions of Membership:
Code of Conduct and Child Safe Policy.
By clicking yes I agree to the child safe policy at all times:
WAIVER, RELEASE AND INDEMNITY FOR BICYCLES AND SCOOTERS
By clicking Yes I agree to the Helmet waiver, release and Indemnity for Bicycles and scooters.