Bayswater Toy Library
New Member Application Form
Primary Contact
First Name:
Surname:
Mobile:
Email:
Second Borrower:
First Name:
Surname:
Mobile:
Email:
Member Type:
Full Membership with 1 child : $ 80.0
Full Membership with 2 children : $ 100.0
Full Membership with 3 children : $ 120.0
LOTE:
Australian
Bangladeshi
Brazilian
British
Bulgarian
Chinese
Indian
Iranian
Malaysian
New Zealand
Pakistani
Singaporean
Slovakian
South African
Sri Lankan
Vietnamese
Zimbabwean
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:
Bassendean
Bayswater
Bedford
Caversham
Dianella
Eden Hill
Embleton
Inglewood
Maylands
Morley
Mount Lawley
NORANDA
South Guildford
Other or not listed
Pcode
State:
First Roster Pref:
Roster: Saturday: 9.00 - 10.30am
Roster: Tuesday: 3.30 - 4.30pm
Any
Second Roster Pref:
Roster: Saturday: 9.00 - 10.30am
Roster: Tuesday: 3.30 - 4.30pm
Any
How did you find us?:
Facebook
Member
Neighbour
Newspaper
Other
Playgroup
Previous Member
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.