New Rehabilitators Membership Form

WReNNZ Rehabilitators

NEW MEMBERS DETAILS
Welcome to WReNNZ national network for wildlife rehabilitators. We thank you for your interest and active involvement in wildlife rescue, rehabilitation and release and look forward to learning a lot more about you and your work.
Individual's Name*
Primary Member
Name of Centre or Trust
Where applicable
Postal Address*
Facilities Address*
Phone
Mobile*
Email Address*
Occupation
Additional Members - Payment tiers available up to 4 members, there after $25pp
Full name and contact details required
What type of wildlife do you work with?
Wildlife type
Do you specialise in a particular species? If yes, please give details.
Do you hold a current DOC Permit?
DOC Permit No
How much rehabilitation experience do you have?
For best rescue to release outcomes WReNNZ is focused on best practice rehabilitation and we expect all rehabiliators joining the network to be constantly striving to improve the quality of their rehabilitation work. We know that getting started and expanding can be very challenging and WReNNZ network exists to assist. If you haven't read the document in detail yet, please take the time to review WReNNZ Minimum Standards for Rehabilitators. If you have any queries or concerns please contact us.
Additional Comments
If you have extensive experience and want to be listed on WReNNZ website, please tick yes?

Yes
Name of person completing the form
Date

DayMonthYear
My Membership
prevnext( X )
One Person($39.00NZD for each year)

Two People($60.00NZD for each year)

Three People($75.00NZD for each year)

Four People($100.00NZD for each year)

More than Four People($25.00NZD for each year)
$25 per person

Total $0.00NZD
Should be Empty:

WReNNZ Rehabilitators