GROVEDALE TOY LIBRARY
New Member Application Form
Primary Contact
First Name:
Surname:
Mobile:
Email:
Member Type:
Family ( 1 Membership) $60 : $ 60.0
Family (2 Memberships) $70 : $ 70.0
Family Daycare/Playgroups/Church Groups (2 Memberships) $90 : $ 90.0
Playgroups /Church groups/Family Daycare (2 Memberships) $90 : $ 90.0
Grandparents (1 Membership) $45 : $ 45.0
Grandparents (2 Membership) $55 : $ 55.0
Health Care Card (1 Membership) $45 : $ 45.0
Health Care Card (2 Memberships) $55 : $ 55.0
Nationality:
Other
Address:
Suburb
Armstrong Creek
Belmont
Geelong
Geelong West
Grovedale
Highton
Moriac
Newtown
South Geelong
Waralilly
Waurn Ponds
Other or not listed
Pcode
State:
ID Card and number: (Drivers Licence Number, medicare card):
How did you find us?:
Friend
Kids Voice Advert
Member
Neighbour
Newspaper
Other
Playgroup
Previous Member
street sign
visit to Grovedale Children's Hub
website
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:
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.