Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Given Name *Last Name *Street Address *City *Post Code *State *ACTACTNSWNTQLDSATASVICWAEmail Address * 3 possess native Facebook Address (URL)Phone (h) *Phone (m) *Age Group *18-3031-5051-6565+I wish to register as a *RescuerLicenced carerI am available to rescue *BandicootsBats, flying foxesBirds (raptor)Birds (seabird, pelican)Birds (other)EchidnasFrogsKoalasMacropodsMammals (marine)Native rats, micePossums, glidersReptiles (snake, goanna)Reptiles (lizard, turtle)Reptiles (sea turtle)WombatsOther native speciesDomestic, farmIntroduced speciesWhen available (for rescues) *Background notes *I am licensed to shoot native animals *YesNoI possess a bolt gun or similar device *YesNoI am a member of * Note: Persons registering as either a carer or rescuer must possess and maintain any licence or permit required by law.Declaration 1 *I am not involved in any commercial activity which conflicts with WRA’s aims or objectivesDeclaration 2 *I have had no criminal convictions, including cruelty to animalsDeclaration 3 *I will abide by any legal requirements associated with this registrationSubmit
