Eastland Membership Registration Question Title * Your Details First Name Family Name Phone Number Email Suburb Postcode Question Title * How did you FIRST hear about 'mini & me'? Eastern Regional Library Eastland Email Eastland Facebook Eastland Instagram Eastland Website Family / Friend Other (please specify) Question Title * Which day/s of the week would suit you best to attend 'mini & me' events at Eastland? Monday Tuesday Wednesday Thursday Friday Please provide details for all children aged 0-4 years Question Title * Your child's details Name DOB (DD/MM/YY) Question Title * Do you have more children aged 0-4 years? Yes No Next
