SpringDale Membership Form

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Name

First

Last

Address

Phone

Gender

Date of Birth

Day/Month/Year

Drysdale Toy Library

I wish to join the Drysdale Toy Library (an initiative of SpringDale Neighbourhood Centre)

SpringDale Groups - that you are a member of

Ideas for other Groups or Classes

Comments

Privacy Notification / Image Use Permission (Photos & Videos)

May be taken during your participation in a SpringDale Group, course or other activity, for publicity purposes. (Please select if you give your permission for your image to be used in this way.)

Membership Payment Option (Please Invoice Me for Payment)

This payment can be made with Direct Credit to our bank account, Credit Card over the phone, or in person during office hours.

Would you like to be kept informed as to what is happening at SpringDale?

Phone Numbers