Parrot Surrender Form - Paradise Parrot Rescue

Name of bird surrendering *

Breed/species of bird surrendering *

Contact Information Name *

(please enter first name and last name)

Street Address *

City: State: Zip Code *

Phone Number *

Email *

Bird's Age *

Bird's Gender *

How was Gender Verified? *

How long in present home? *

How many in previous home?

Please describe this bird's diet (Seed, Pellet, Fresh and Cooked Fruits and Vegetables, etc.): *

What is the reason for surrendering this bird? *

Is this bird friendly? *

Is this bird hand tame? *

Is this bird aggressive? *

Can this bird fly? *

Does this bird prefer men, women, no preference? *

Does this bird like children? *

Does this bird have any physical or emotional problems that we need to be made aware of to better provide for his her care? *

Please elaborate if so, if there are no problems please just input no.

Has this bird ever been socialized with any other birds? *

Please describe any likes or dislikes this bird may have... *

Please be detailed as this will help us comfort the bird and find a home fit to their personality.

Please describe favorite toys and favorite activities this bird enjoys *

Please provide any details about this bird that may be helpful in his or hers adjustment to PPR: *

Please be detailed as this will help us comfort the bird and find a home fit to their personality.

Has this bird ever been seen by an avian veterinarian? If yes, please explain in detail an give us the name of your veterinarian ( well bird exam, illness, etc.): *

Please be detailed as this will help us comfort the bird and find a home fit to their personality.

I understand that there are costs associated with taking in surrendered birds. Costs like food, vet care, transportation, handling, etc can add up, especially if the bird remains in our care for weeks or months. I can make a potentially tax deductible donation to help offset these costs in the amount of: *

Agreement to terms and transfer of ownership *

I hereby relinquish this bird to Paradise Parrot Rescue of Tucson Arizona for placement as they determine to be in the best interest of this bird. I understand that by signing this contract, I will have no cause or right to reclaim this bird and that Paradise Parrot Rescue of Tucson is the rightful owner and may retain the rights to make any and all decisions concerning this bird.

Would you be open to the new owner being provided a copy of this form? *

Are you open to having the new owner reach out to you to discuss your bird? *