REGISTRATION FOR PARROT PLACEMENT

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REGISTRATION FOR PARROT PLACEMENT

REGISTRATION FOR PARROT PLACEMENT

Please submit this form if you wish to register your parrot with us for adoption into a new home.

Please submit a separate form for each parrot you wish to register.

(If you wish to register to adopt a parrot, please click here)

Note: Please provide as much information as you can. This is an important part of the record that will go forward with your bird. Any information that you don't tell us could be lost forever, to the detriment of your bird.
You will be contacted soon by one of our representatives if we can immediately assist you.
Otherwise, you will be placed in our database for future reference.
(Please note: this service is currently available for persons in Western Washington and Western Oregon only)

PART ONE:

I wish to Register My Parrot for Adoption

YOUR NAME:

TODAY'S DATE:

E-MAIL ADDRESS:
(required to use this form)

ADDRESS:

CITY:

STATE:

ZIP:

PHONE:

PART TWO:

PARROT'S NAME:

PARROT'S SPECIES:

PARROT'S AGE:

LEG BAND NUMBER:

PARROT'S SEX:

How was sex determined?

Surgical Sexing

DNA Sexing

Stated by Previous Owner

Why do you wish to give up your parrot?

How long have you had the parrot?

Please provide as much of the background and history of the parrot as possible:

What type of setting has the parrot been living in (i.e. house/apartment, bird room, other birds, other pets, children, window to look out of, etc.)?

Is the parrot bonded to any person or other bird in your household?

Please provide a description of the general health and status of the parrot:

Are the bird's wings clipped, or is it a house-flyer?:

Please provide a description of the parrot's personality and disposition:

Does the parrot have any bad habits (i.e. plucking, biting, screaming, finicky eater, unfriendly behavior, etc.)?

Does the parrot talk? If so, please describe words, phrases.

What does the parrot's diet consist of?

Who is the parrot's veterinarian?

Has the parrot been exposed to any type of illness or disease?

Do you have documentation of recent vet visits?

What is your time frame for giving up your parrot?

Urgent/ASAP

Fairly Soon

No Rush

Is a cage available for the bird? Please describe:

Are you uploading photos of your bird?

UPLOAD PHOTOS (If you have difficulty uploading images, please e-mail digital photos to rse@rsenter.com or mail prints to: PPP, P.O. Box 496, Gig Harbor, WA 98335... be sure to send along the bird's name and species with your photos)

Are you willing to donate $50 for PPP to assist in finding your parrot a good new home? (PPP is entirely donor-funded)

Yes

How Did You Find Out About Us?

Other Way You Found Us:

Additional Information You Can Provide:

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THANKS FOR YOUR SUPPORT!