How to Join

Interested in joining us here at Wildlife SEQ?

Becoming a wildlife carer can be an extremely rewarding role. However, not everyone has the time to do it, but that’s okay.  There are many ways to help our native wildlife when you join us.

When you become a member, you can either join to become a wildlife carer, a land for wildlife owner or even just a financial member.  Maybe you would like to assist us with our fundraising events or if you are handy with the sewing machine or hammer, help make boxes and pouches.

By joining Wildlife SEQ, you are not only a member but part of a community.  All our members are passionate about native wildlife and the environment in which they live.

You will have the opportunity to come along to informational workshops and social events held throughout the year. In addition, you will be kept up to date with our quarterly newsletters to hear about the stories of the animals in care and your local environment

Scroll Down to the bottom of the page to apply online using our quick and easy online form and online membership payment system. 

Alternatively, to complete the manual Microsoft Word version on the membership form please click the “Membership Form” link below. 

 Microsoft Word Version: Membership Form

If you have chosen to complete the MS Word version template, please email it to: memberships@wildlifeseq.com.au

Payment can be made via Credit Card, Paypal or Direct Bank Transfer.

For Paypal payments, please use our email address: info@wildlifeseq.com.au

Paypal will accept credit card and bank transfer.

For direct transfer, please use the following details with your full name as the reference:

Westpac Bank
Account Name: Wildlife SEQ
Account Number: 365050
BSB Number: 034-243

ONLINE MEMBERSHIP APPLICATION FORM

Please enable JavaScript in your browser to complete this form.

– Step 1 of 4

Select type of application? *New MembershipRenewal of an Existing Membership

A membership renewal is much more simplified process for our existing members. New Members must complete the New Membership to provide all of the necessary information for review.

Select the type of Membership for this application *Single $34.50Family $49.50

Memberships are non refundable. Family memberships can consist of up to 2 adults, 2 children living at the same address

Family Membership – Select Members of family

• Secondary Adult Member
• Child (1st)
• Child (2nd)

Family memberships allow for up to four household members to apply under the family membership option.

Name (Primary Member) *

First

Last

Mobile Number (Primary Member)

Date of Birth *

Email (Primary Member) *

Family Membership (Secondary Adult Member)

Secondary Member Name (Family Membership Only)

First

Last

Only complete this section if you selected the family member application type option.

Mobile Number (Secondary Member)

Email (Secondary Member)

Leave empty if not applicable.

Date of Birth (Secondary Member)

Leave empty if not applicable.

Family Membership (Children)

Child Name (First)

First

Last

Please complete to add any children to the application for a family membership application only

Child Date of Birth (First)

Leave empty if not applicable.

Child Name (Second)

First

Last

Please complete to add any children to the application for a family membership application only

Child Date of Birth (Second)

Leave empty if not applicable.

Next

Personal Information

Address

Address Line 1

City

State / Province / Region

Postal Code

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Emergency Contact Name (For Primary Member) *

First

Last

Emergency Contact Relationship *

Phone

Has your address changed since your last application?NoYes

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

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General Background & Experience

Are you a current member or been a member of another wildlife organisation? *NoYes

Have you ever been denied a Wildlife Rehabilitation Permit or had one cancelled or revoked by either a wildlife organisation or the DES (Department of Science)? *NoYes

Please identify the wildlife organisation you are a member or have been a member of below

If you answered No to the previous question please leave this field blank.

Please describe, if any, your previous wildlife experience?

Please leave blank if you do not have any experience.

Have your emergency contacts changed since your last application?NoYes

Emergency Contact Name Update

Emergency Contact Relationship

E.g. Husband/Wife/Mother/Father/Brother/Sister etc.

Emergency Contact Phone Update

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Payment & Complete Form Submission

Please select your preferred payment method *Secure Credit Card PaymentSecure PayPal PaymentBank Transfer (EFT) Deposit

For ETF/Bank Transfers Please use Westpac Bank – Account Name: Wildlife SEQ Inc. – BSB Number: 034 243 – Account Number: 365 050

Select Membership Type for Secure Credit Card PaymentSingle Membership – $34.50Single Membership – $34.50Family Membership – $49.50

Please manually select the membership type from the dropdown list.

Secure Credit Card Payments Online (Square Payments) *

Card

Name on Card

Square Payments Provider supports WildlifeSEQ Inc with secure online payments for our members. WildlifeSEQ Inc does not collect, store or process your credit card details.

Total

$0.00

PayPal Secure Online Payment Method

• Once you read & accept the terms and conditions below click on Submit and you will be redirected to PayPal payment gateway to securely process your membership payment.

Bank Account Transfer

• Use the following Bank Account Information for transfer via EFT/Deposit – Westpac Bank – Account Name: Wildlife SEQ Inc. – BSB Number: 034 243 – Account Number: 365 050

By becoming a member of Wildlife SEQ Inc. you agree to: 1. Abide to all content included in all workshop manuals when carrying out any tasks on behalf of Wildlife SEQ Inc. 2. Abide by the organisations core values, policies and procedures 3. Agree to follow and adhere to Wildlife SEQ Inc. Safety Practices 4. Abide by the rules set out in the following legislation (policy will be emailed) – Code of Practice – Care of Sick, Injured or Orphaned Protected Animals in Queensland As part of our application process Wildlife SEQ collects personal information and matter including name, address, phone number, email address, training and experience. This information may be released to other relevant wildlife organisations including but not limited to Australia Zoo Wildlife Hospital, Department of Science (DES), RSPCA if required. Wildlife SEQ Inc. accepts no liability for any personal injury, death, property damage/loss or financial cost arising from any voluntary work undertaken on behalf of the organisation. Wildlife SEQ Inc. holds Public Liability Insurance in the amount of $20,000,000. *

• I accept the above terms & conditions

Submit