Bayswater Toy Library
New Member Application Form

Mibase Logo
Primary Contact
First Name:

Surname:


Mobile:

Email:
Second Borrower:
First Name:

Surname:


Mobile:

Email:
Member Type:

Nationality:
Child Name:
Gender:
Date of Birth:

Child Name:
Gender:
Date of Birth:

Child Name:
Gender:
Date of Birth:

Address:
Suburb:

Pcode



State:


First Roster Pref:
Second Roster Pref:

How did you find us?:

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.
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