Toy Library Membership Application Surname: ___________________________________________ Given Names: _______________________________________ Organisation Name (if applicable): ______________________ Address: __________________________________________________________________________________ Postcode: _____________________ Phone Number: (1) ____________________ (2) ___________________ Email: ________________________________ Child 1: ______________________ D.O.B: ___________ Child 2: ______________________ D.O.B: ___________ Child 3: ______________________ D.O.B: ___________ Child 4: ______________________ D.O.B: ___________ Where did you hear about the Toy Library? Newsletter Flyer Website Friend Group Other________________ I wish to become a borrower of the Toy Library and I agree to pay a membership fee, and observe the Toy Library membership conditions. I, the undersigned undertake to make good the loss/damage to any toy borrowed and pay any charges/fines incurred. I will notify the Toy Library of any change of address. I would like to receive the Camden Community Connections Newsletter by post or email: Yes No Member Signature: _______________________ Date: ________________ ___________________________________________________________________________________ ______ Office Use Only: ID: _____________________________ Senior/ Student card: Yes No Staff Signature: __________________ Date________________ Membership Expiry: _______________ Membership Number: _______ MEMBERSHIP AND BORROWING CONDITIONS · Members may borrow each fortnight. Toys must be returned on or before the due date. A borrowing fee applies. · Renewals and reserves may be done at the discretion of the toy librarian. · Toys may be borrowed from and returned to Toy Library during Toy Library opening hours ONLY. · Overdue toys will incur a fine. · Toys should be returned clean and in good working order, in their original bag/container. · If a borrower is suffering from an infectious disease, toys and games should not be borrowed. If you are returning a toy or game inadvertently handled by anyone with an infectious disease please notify the librarian. · If a toy piece is lost and the toy is still suitable for loan, you are required to pay the Toy Library a Loss Fee. This fee is refundable by the Toy Library on receipt of the lost piece. · If a toy is lost, or damaged and is no longer suitable for loan, you are required to pay a replacement fee which will be assessed by the Toy Librarian. · A replacement fee will also apply if you lose a toy bag/container or tag. · Toy Library is not responsible for any injury or damage arising from the use of a toy. It is the responsibility of the parents /guardians to supervise the child’s play with the toy. Schedule of fees at 1 February 2008 12 month Membership: $30.00 12 month seniors/ student membership: $20.00 Large Toy: $6.00 Intermediate Toy: $4.50 Small Toy: $3.00 Puzzle/Puppets: $1.50 Party pack: $35.00 Overdue Fee 1st Week $ 3.00 Each additional week or part thereof $ 6.00 Loss Fee Per lost toy piece: $ 6.00 Refundable on receipt of lost piece Replacement Fee Per lost toy tag: $ 1.20 Per lost toy bag/container: $ 2.50 Per lost or damaged toy As assessed by the Toy Librarian. All fees, charges & conditions are subject to change at any time.