Parrot
Valley Rescue
Surrender
Contract
Date:
_____________________
Bird’s Name: _____________________________________
Breed:
_______________________________
Age: ___________
Sex: M ____ F ____
Name
of Donor: _____________________________________________________________
Address:
__________________________________________________________________
City,
State and Zip: ___________________________________________________________
Home
Phone: _________________________
Business Phone _________________________
Reason
for surrender: _________________________________________________________
It
is hereby agreed, by and between Donor and Parrot Valley Rescue (PVR) as
follows:
1.
Donor
is no longer able to keep/interested in keeping that bird (the “Bird”) as
described above.
2.
Donor
knows of no other person who has any claim to the bird.
3.
Donor
hereby relinquishes, in favor or PVR, all rights, title and interest to and in
the Bird, along with any cage(s), toys or other items currently surrendered.
This grant is immediate and absolute.
4.
Donor
may, at any time prior to the execution of any Bird Adoption Contract between
PVR and a third party, apply to adopt the Bird, subject to the same conditions
and restrictions as an adoption to a third party.
5.
It
is the donor’s understanding that they are not entitled to any portion of any
adoption fees or any other donation.
6.
It
is understood that it is the purpose of this donation that PVR provide for the
physical and psychological needs of the Bird and Donor may not, in any way,
question or interfere with PVR in the care, treatment or placement of the bird.
Signed
(Donor): ________________________________________ Date:
_____/_____/_____
Does
the bird bite: Yes___ No ___
What
seems to trigger the biting behavior? _________________________________________
__________________________________________________________________________
Does
the bird exhibit any gender preference? Yes___ No ___
If yes, note preference: Male _____
Female _____
Does
the bird seem to prefer a certain hair color? Yes___ No ___
If Yes, note the color ______________________________
What,
if anything, is the bird frightened by? ________________________________________
How
does the bird react when frightened? _________________________________________
__________________________________________________________________________
How
do you bathe the bird? _____________________________________________________
Do
you cover the bird at night? __________________________________________________
If
the bird talks, please note what he/ she says:
_____________________________________
__________________________________________________________________________
__________________________________________________________________________