Membership Application Form

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Membership Application Form

Registered Charity: 1178098

Please list all children who may use the Toy Library (under 5 years). The membership fee is £12.00 per family and membership is valid for one year from the date of issue.

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* Indicates required question

Email *

Your email

Please tick if you wish to receive our newsletter

Yes, I wish to receive the newsletter

Parent/Guardian Name *

Your answer

Relationship to child/children *

Your answer

Address *

Your answer

Postcode *

Your answer

Phone number *

Your answer

Child(ren)'s surname *

Your answer

First Child's Name *

Your answer

First Child's Date of Birth *

MM

/

DD

/

YYYY

Gender *

Female

Male

Other:

Do you need to add another child? *

Yes

No

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