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Hunter Wildlife Rescue

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Couples Membership Application Form

Payment method*

Couples MembershipA$90

BOTH PERSONS

First names*

Last name(s)*

Email 1*

Email 2

Mobile number 1*

Mobile number 2

Address

PERSON 1 PERSON 2

PERSON 1 - I am over 18 years of age*

Yes

PERSON 2 - I am over 18 years of age*

Yes

Our areas of interest are:

Wildlife Rescuer

Wildlife Rehabilitator

Transporter

Vet Pick-up

Education

Rescue Phone Operator

Technology Support

Public Awareness

Fund Raising

Financial Member only

Other

DECLARATION

Have either of you ever been convicted of an offence under the NSW National Parks and Wildlife Act 1974, Prevention of Cruelty to Animals Act 1979 or other similar legislation?

Criminal Conviction*

Yes

No

Are either of you now, or have you ever been a member of another organisation which does wildlife rehabilitation work similar to Hunter Wildlife Rescue (NATF)?

Previous Wildlife membership

Yes

No

What experience have you had with native wildlife?

CONSENT

PERSONAL DECLARATION UNDER CURRENT PRIVACY LAWS:

After attending the initial introductory course, we will seek your permission to pass on your basic details (name, address, e-mail contact, phone number only) to members of HUNTER WILDLIFE RESCUE (NATF) to assist with rescue and other general matters.

All native fauna held by members is subject to National Parks and Wildlife Service NSW licence MWL0001 00266. Members who wish to become involved in the rehabilitation of native fauna are required to undertake approved training and have facilities approved before the appropriate authority may be issued.

Consent*

I agree to the above privacy policy.

*Persons under 18 years are not permitted to rescue and rehabilitate native fauna.

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to help them

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Protection of native animals

All native birds, reptiles, amphibians and mammals, but not including dingoes, are protected in NSW by the Biodiversity Conservation Act 2016.

Hunter Wildlife Rescue acknowledges Aboriginal people as the traditional custodians of the land on which our offices and operations are located, and we pay our respects to Elders past, present and future.

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