Join Toys Without Barriers

Membership Details

Please choose your membership type

Professional
Description: 3 toys + 1 switch
Cost: $50.00 for 1 year
Loan up to 3 items at a time.

Member 1

* indicates required fields

First Name* Last Name* Email* Mobile Number

I consent to receiving SMS notifications

Address Suburb Home phone

How did you hear about us?

Member 2 (Optional)

First Name Last Name Email Mobile Number

External contact

For if we need to contact you in an emergency

Name Phone Street address

Children

This information is optional and helps guide us on future decisions.

Child one

First name Last name Gender Date of birth

Child Two

First name Last name Gender Date of birth

Child Three

First name Last name Gender Date of birth

About You

This information is optional and helps guide us on future decisions.

Do you identify with any of the following ethnicities?

Disabilities

This information is optional and helps guide us on future decisions.

Is anyone in your household affected by the following disabilities/conditions? Please share if not listed, as this will assist us in supporting your family by providing toys that will offer great enjoyment.