Parrot Bio Relinquishment Form

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Are you the owner of this parrot?
Your Name:
Are you using well water at this location?
Sex of Parrot
Sex of the parrot determined by:
Does this parrot prefer men, women, or children ?
Is she/he hand tame?
Does this parrot prefer the right hand or left hand for stepping up?
Does this parrot prefer to step forward or step backward?
Does your parrot have a microchip?
Does your parrot have a leg band number?
Was he or she used for breeding?
Does he or she become nippy?
How often do you take your parrot to the vet?
Avian Vet’s Name:
Clinic Address:
Has your parrot ever sustained any injuries?
Has your bird ever been treated for any illness or diseases?
Has your bird ever been given any medications?
Has your bird ever been on herbal or other alternative therapies?
Does your bird have any medical/physical condition that requires reoccurring treatment and/or a specialized perch, cage, or play area?
Has this parrot had any behavioral issues currently or in the past?
How do you discipline your parrot?
Does the parrot have any special, obvious identifying marks?
Does this bird’s beak require regular trimming?
Has he or she been in a home with other animals?
Does this parrot have strong dislikes?
Does this parrot mimic, talk, or know any words?
Does he or she sing songs?
Does the parrot like music?
Does the parrot like television?
What kind of toys does he or she like?
Has the Parrot lived in a household with smokers (cigarettes, cigar, other)?
Do you burn candles in your household?
Has the parrot been outside the home on overnight trips?
Does the parrot get carsick?
How does this parrot react to outsiders?
Does this parrot like baths?
How do you bathe your parrot?
How often does he or she take a shower?
Will the parrot stay on a perch or cage top if left alone?
Do you need a padlock or link for the parrot's cage?
Will the parrot come out of his/her cage on your hand?
Does the parrot know the "Step up" command?
What time does he or she wake up?
What time does he or she go to bed?
Do you cover the cage at night?
Can you donate the parrot's security blanket?
In the cage area, how was traffic flow?
In the cage area, are there any animals free roaming?
How many hours a day is the bird usually left alone?
Is the parrot allowed to freely roam when out of his/her cage?
Is he or she supervised when out of his/her cage?
Has the parrot ever bonded with another bird or animal
Is the parrot stick trained?
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
I/ We understand that the placement of our parrot is a serious matter.
I/ we understand that there is a suggested donation contribution requested for relinquishment into this program. The donation contributions are determined by several factors depending upon the needs of various sizes of parrot. This will ensure the quality care that a relinquished parrot requires. Some parrots take years to find their new vetted forever homes. Please review and check the appropriate box for the size of parrot below. * We will call you within 24 hours of receipt of your form. If you don't hear back from us within 24 hours of submission, please call us at 916-956-2153.
I/we understand that there is an suggested relinquishment donation for all placements. Please check the appropriate box for your size of parrot:
Your Full Name
Would you like to be in contact with the new adopter?