Membership Application

Membership Application - New

Use this online application form for a NEW membership to Wildcare Australia Inc.
Thank you for joining Wildcare Australia Inc!

Wildcare is a non-profit, 100% volunteer based organisation located in South-east Queensland which is dedicated to the rescue and rehabilitation of sick, injured and orphaned wildlife.

Wildcare undertakes rescue/rehabilitation activities in the following council regions: Gold Coast, Scenic Rim, Logan, Brisbane, Sunshine Coast, Noosa, Ipswich, Redlands and Moreton Bay. We are unable to issue new Rehabilitation Permits outside of these areas.

Please use this online membership application form if you are a NEW member to Wildcare or if your previous membership expired more than 12 months ago.

Membership fees are listed below:

SINGLE membership (one individual person):

1 year - $40.00

2 years - $80.00

5 years - $200.00

FAMILY membership (1-2 adults and children 14-17 years living at the same address):

1 year - $60.00

2 years - $120.00

5 years - $300.00

You will select the applicable membership level at the bottom of this online form.

Contact Details:

PO Box 2379, Nerang Qld 4211

Emergency Hotline: 07 5527 2444

Membership enquiries - please email membership@wildcare.org.au

General enquiries - please email enquiries@wildcare.org.au

www.wildcare.org.au
Membership Applications @ 25 March 2024.

All Wildcare administration tasks, including membership applications, are processed by our awesome team of volunteers. Our Membership Secretary is taking a well-deserved holiday with her family so there will be a delay in processing new membership applications from 25 March to 15 April 2024.

You can still book in for workshops while your membership is pending though.

If you have any questions about your membership in the meantime, please feel free to email karen@wildcare.org.au.
MEMBERSHIP INFORMATION

Please complete your personal information below. Some sections are required to be completed as marked.
MEMBER NO. 1

Please complete details for the first member.
First Name 1*
Last Name 1*
Date of Birth 1*

DayMonthYear
Date
Email Address 1*
example@example.com
Mobile Number 1*

PrefixPhone Number
Home Number 1 (if applicable)

Area CodePhone Number
EMERGENCY CONTACT DETAILS - MEMBER NO. 1

Please do not include Member No 2 (for family memberships) - chose another emergency contact.
Emergency Contact Name 1
Emergency Contact Relationship 1
Emergency Contact Phone Number 1

Area CodePhone Number
MEMBER NO. 2 (Family Memberships only)

Please complete details for the second member (Family Memberships only) if applicable. Leave this section blank if completing for a Single Membership.
First Name 2
Last Name 2
Date of Birth 2

DayMonthYear
Date
Email Address 2
example@example.com
Mobile Number 2

PrefixPhone Number
Home Number 2 (if applicable)

Area CodePhone Number
EMERGENCY CONTACT DETAILS - MEMBER NO. 2

Please do not include Member No 1 (for family memberships) - chose another emergency contact.
Emergency Contact Name 2
Emergency Contact Relationship 2
Emergency Contact Phone Number 2
For Family Memberships, please do not list a member on this form as an emergency contact. We will automatically contact this person first in an emergency.
CHILDREN (14 - 17 years only)

FAMILY MEMBERSHIPS ONLY - Must be living at the same address. Please do not list children under 14. Children under 14 are not permitted to attend Wildcare training workshops. If you are anticipating that a child will be attending training workshops, please provide their email address so they will receive workshop registration confirmation emails and certificates of attendance.
Full Name - Child 1
Date of Birth - Child 1

DayMonthYear
Date
Email Address - Child 1
Only required if child will be attending training workshops
Full Name - Child 2
Date of Birth - Child 2

DayMonthYear
Date
Email Address - Child 2
Only required if child will be attending training workshops
Full Name - Child 3
Date of Birth - Child 3

DayMonthYear
Date
Email Address - Child 3
Only required if child will be attending training workshops
Full Name - Child 4
Date of Birth - Child 4

DayMonthYear
Date
Email Address - Child 4
Only required if child will be attending training workshops
RESIDENTIAL/POSTAL ADDRESS
Residential Address *

Street number and name

Street Address Line 2

SuburbState

Post Code
Postal Address (if different to residential address)

Postal Address

Street Address Line 2

SuburbState

Post Code
Rehabilitation/Wildlife Experience
If you wish to become a volunteer wildlife rescuer/rehabilitator with WILDCARE AUSTRALIA INC. you will need to apply separately for a Rehabilitation Permit Endorsement and satisfy the requirements as set down by Wildcare. Permit Endorsement applications are assessed based on completed training, experience, knowledge, facilities and the demand for wildlife rehabilitators in the region you reside.

Wildcare will only issue Permit Endorsements for members residing in the South-east Queensland council regions of Gold Coast, Scenic Rim, Logan, Brisbane, Sunshine Coast, Noosa, Ipswich, Redlands and Moreton Bay. Permit Endorsements will only be issued to members aged 18 years and over.
Are you a member (or have previously been a member) of any other wildlife rescue/rehabilitation group in Australia? If so, please list the name of the group, the species you have cared for previously and whether you are a current member.*

NoYes - please complete next question
If you answered YES to the question above, please list the name of the group, the species you have cared for previously and whether you are a current member.
Have you ever been denied a Rehabilitation or Recreational Permit or had a permit revoked or cancelled by DES (or other State equivalent) or another wildlife care organisation?*

NoYes
How did you hear about Wildcare?

Facebook / InstagramInternetWildcare BrochureAdvertisementFriend/FamilyWildcare memberDisplay or event (please list which event)
Disclosures

WILDCARE AUSTRALIA INC. controls access to personal information in order to protect the privacy rights of our volunteers. A volunteer's personal details and matters (such as address, telephone number, permit details, rehabilitation experience, training, rescue/carer records etc) may be released to other relevant wildlife organisations (such as the Department of Environment and Science (DES), RSPCA Queensland, Currumbin Wildlife Hospital, Australia Zoo Wildlife Hospital) if required, as well as Wildcare members (such as Species Coordinators, Management Committee, Hotline Operators and other key volunteers).

By joining WILDCARE AUSTRALIA INC you agree:
- To adhere to the organisation's core values, policies and procedures
- To adhere to the conents of the WILDCARE Volunteer Manual and appropriate species training manuals when carrying out tasks on behalf of the organisation.
- To adhere to the WILDCARE Safety Management Manual.
- To abide by the rules set out in the following legislation (available to download on the Wildcare website):
  - Queensland Nature Conservation Act 1992
  - Code of Practice - Care of Sick, Injured or Orphaned Protected Animals In Queensland
  - Animal Care and Protection Act 1992
- To the Management Committee of WILDCARE discussing your membership application or renewal with other relevant wildlife organisations such as Department of Environment and Science (DES), RSPCA Queensland and current/previous wildlife care groups that you have been or are a member of (if required).
- To adhere to the organisation's copyright policy which states that all work and tasks performed on behalf of WILDCARE remains the property of the organisation and is protected by copyright laws.
WILDCARE AUSTRALIA INC accepts no liability for any personal injury, death, property damage/loss or financial cost arising from any voluntary work undertaken for or on behalf of the organisation. WILDCARE holds Public Liability Insurance in the amount of $20,000,000.
PAYMENT DETAILS
PayPal is our preferred method of payment. You do not need a PayPal account in order to pay via PayPal, you only need a credit card.

Please do not send cash, cheques or money orders in the post.
MEMBERSHIP LEVELS

Please select the applicable membership level below. Memberships will not be processed without payment.
Membership options*
prevnext( X )
SINGLE membership - 1 yearOne individual person for 1 year
$40.00AUD



SINGLE membership - 2 yearsOne individual person for 2 years
$80.00AUD



SINGLE membership - 5 yearsOne individual person for 5 years
$200.00AUD



FAMILY membership - 1 year1-2 adults and their dependent children 14-17 years
$60.00AUD



FAMILY membership - 2 years1-2 adults and their dependent children 14-17 years
$120.00AUD



FAMILY membership - 5 years1-2 adults and their dependent children 14-17 years
$300.00AUD



DONATION (OPTIONAL - Tick to select)Donations $2 and over are tax deductible
$5.00AUD



Total

$0.00AUD

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Membership Application - New

You will select the applicable membership level at the bottom of this online form.

MEMBERSHIP INFORMATION

MEMBER NO. 1

EMERGENCY CONTACT DETAILS - MEMBER NO. 1

MEMBER NO. 2 (Family Memberships only)

EMERGENCY CONTACT DETAILS - MEMBER NO. 2

CHILDREN (14 - 17 years only)

RESIDENTIAL/POSTAL ADDRESS

Rehabilitation/Wildlife Experience

PAYMENT DETAILS

MEMBERSHIP LEVELS