Ocean Grove Toy Library
New Member Application Form
Primary Contact
First Name:
Surname:
Mobile:
Email:
Second Borrower:
First Name:
Surname:
Mobile:
Email:
Member Type:
Concession : $ 40.0
Casual : $ 20.0
Concession Plus : $ 50.0
Full Membership : $ 50.0
Family Membership Plus : $ 60.0
First Time Baby : $ 50.0
Grandparent : $ 40.0
Grandparent Plus : $ 50.0
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:
Barwon Heads
Clifton Springs
Curlewis
Drysdale
Leopold
Marcus Hill
Ocean Grove
Point Lonsdale
Wallington
Other or not listed
Pcode
State:
How did you find us?:
Brochure
Council
Festival
Friend
Library
Local Paper
MCH
Member
Neighbour
Newspaper
Other
Playgroup
Previous Member
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.