Enroll

Please complete the following form and mail a cheque or money order payable to the Alberta Wildlife Rehabilitators' Association for $25 to:

Alberta Wildlife Rehabilitators' Association
Box 79113
70 - 1020 Sherwood Drive
Sherwood Park, Alberta  T8A 2G4

Name:
Address:
Home Phone:
Work Phone:
Fax:
Email:

Please check all applicable boxes and add any required information in the space provided below.

I have taken the International Wildlife Rehabilitation Council's (IWRC) Wildlife Rehabilitation 1AB Course. (Please provide location and date below)

I have taken other courses offered by IWRC or NWRA (Please list courses below)

I am a volunteer at a rehabilitation facility (Please name facility below)

I am interested in wildlife rehabilitation but do not actively participate at this time

I have expertise in areas that may be of use to the AWRA (Please list areas of expertise below)

I am interested in setting up a rehabilitation centre (Please provide location below)

I have been involved in a rehabilitation project outside of a rehabilitation centre (Please provide details of project below)

I operate a licensed rehabilitation centre (Please provide your license numbers below)

As a licensed rehabilitation centre, I have designated the following person to vote on my behalf (Please name person below)

Additional Information