WILDLIFE CARERS GROUP INC. 
ABN: 12 746 447 344 
Rehabilitation Carers Licence No: K8464
PO Box 3509
Weston Creek.  ACT.  2611
24 hour mobile service for sick, injured, orphaned wildlife: 0406 056 099
http://www.geocities.com/wildlife_carers_group/ or http://wcg.awardspace.com
email:  wildlife_carers_group@yahoo.com.au

The Wildlife Carers Group Inc. is a non-profit organisation, established in 2004, run by volunteers .

The aims of the Wildlife Carers Group Inc. are to promote the general welfare and continued survival of native fauna and flora as an essential element of the environment, and specifically to undertake the specialised care necessary for the rehabilitation of orphaned, sick and injured native birds and other animals, promote public awareness of the need to conserve existing wildlife species, and an understanding of their particular habitat and feeding requirements.

MEMBERSHIP APPLICATION FORM
 Annual membership runs from 1st July to 30th June the following year.
To:  	PO BOX 3509 
WESTON CREEK.  ACT.  2611

Name: .....................................................................Email:......................................................................

Address: .................................................................Phone:.......................................................................

..................................................................................Fax:..............................................................................

.........................................Postcode....................             
MEMBERSHIP TYPE:
(please tick one)
FAMILY  ($30)        [       ]                  Cheques payable to: Wildlife Carers Group Inc.
SINGLE  ($20)       [       ]                  Amount enclosed:  $.............................
CONC.    ($10)       [       ]                  Donation(optional):$............................
Must supply photocopied proof of concession

I am willing to help with the care of Marsupials, Birds, Cage Building,
Fund Raising, Membership/Donation.  (DELETE NOT APPLICABLE)

I have knowledge of, or expertise in..................................................................................................

Where did you hear about us?
 
(a)  through advertising/media	[Y/N]
(b)  which advertising/media ................................................................................................................
(c)  word of mouth	[	]Please specify.........................................
(d)  other	[	]Please specify.........................................
[  ] New Member                                          [  ] Renewal - M/ship No........................................................
Indemnity
I the undersigned am aware that I may be in close proximity to native animals during any training course, animal, rescue, rehabilitation or release.
I acknowledge that due to the unpredictable nature of these animals, accidents can occur and that the organisers/trainers/association can not be held liable.
I undertake to attend the required training courses, taking care not to endanger myself or others during such courses or during any rescue, rehabilitation or release of native animals.

Signed: .......................................................................................Date:..................................................