Childrens Library Membership Form

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* Mandatory fields

Parent Surname*

Parent Full Name*

Parent Date of Birth*

Home Address*

Postal Address

Mobile Number*

Email Address*

Number of children under the age of 17*

Child 1 - Name *

Child 1 - Date of Birth*

Child 2 - Name

Child 2 -Date of Birth

Child 3 - Name

Child 3 - Date of Birth

Identification (Choose one)

Passport Details

Drivers License Details

Membership Fee

Terms and Conditions*

I have read the terms and conditions of the membership guidelines and I agree to abide by the guidelines for loaning books from the ISRA Childrens library, as set out in the membership policy