Primary Contact
First Name:	Surname:
Mobile:	Email:

Second Borrower:
First Name:	Surname:
Mobile:	Email:

Member Type: 12 Month Concession - New Member - Borrow up to 10 toys at a time : $ 108.0 12 Months - Borrow up to 10 toys at a time - New Member : $ 150.0 3 Months Concession - Borrow up to 10 toys at a time - New Member : $ 45.0 3 Months - Borrow up to 10 toys at a time - New Member : $ 60.0 6 Months - Borrow up to 10 toys at a time - New Member : $ 90.0 6 Months Concession - Borrow up to 10 toys at a time - New Member : $ 66.0

ID Card and number: (Drivers Licence Number, medicare card):

First Roster Pref: Roster: Saturday: 09.30-11.30am Roster: Wednesday: 09.30-11.30am Any

Second Roster Pref: Roster: Saturday: 09.30-11.30am Roster: Wednesday: 09.30-11.30am Any

How did you find us?: Member Neighbour Newspaper Other Parent’s Group Playgroup Previous Member Social Media

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 Clear

Conditions of membership

By clicking yes I agree to the conditions of Membership:

WAIVER, RELEASE AND INDEMNITY FOR BICYCLES AND SCOOTERS

By clicking Yes I agree to the Helmet waiver, release and Indemnity for Bicycles and scooters.