Quality of Life through Education,
Rescue, Rehabilitation and Adoption
DONOR FORM
Species
of parrot for adoption: ____________________________________________
What
is the parrot's name? _______________________________________________
How
long has the bird been in your possession? ______________________________
Why are you placing this parrot? __________________________________________
_____________________________________________________________________
_____________________________________________________________________
How
many homes has the parrot had and why? ______________________________
_____________________________________________________________________
_____________________________________________________________________
Are you sure you want to give up this
bird? _________________________________
NCOAR,
encourages you to try to work out any problems that you may have.
We want what is best for you and the
bird.
Approximate age of parrot?
______________________________________________
Sex (if known)? ______ was it DNA or endoscopically
sexed? __________________
If so, is there a certificate available?
_______________________________________
Does the parrot have any specific
requirements (list)?__________________________
_____________________________________________________________________
___________________________________________________________________
Are
cage, perch, toys or food included (list)? ________________________________
_____________________________________________________________________
_____________________________________________________________________
Does
the parrot have any specific food preferences (list)?_______________________
_____________________________________________________________________
Does the parrot prefer or dislike men or
women? _____________________________
Are
you sure you want to give up this bird? _________________________________
NCOAR
would like to assist you in any way we can to help you keep this bird.
Does
the parrot like children? ____________________________________________
Would you like visitation or any further
contact with the parrot? _________________
(
Visitation is not recommended as it will confuse the bird. )
If so, how, calls, visitation, pictures?
______________________________________
Does the bird scream? _______If so at
what intervals? ________________________
Does the bird bite? _______ How often and when? __________________________
_____________________________________________________________________
Who is the parrot's avian vet? ____________________________________________
Address:_____________________________________________________________
Phone
Number: ( ____ ) ( ____ ) ( ______ )
Is
the parrot on any medications? _________________________________________
Has
the parrot had any diseases or medical problems? _________________________
_____________________________________________________________________
_____________________________________________________________________
Has the parrot had any vaccinations? ______________________________________
Does
the cage require covering? __________________________________________
What
is the parrot's bedtime? _____________________________________________
Has
the bird ever been bred? ____Is the bird
banded? ____ Micro chipped? _______
Is there anything else about the bird you
would like the new owner to know (likes, or
dislikes, personality traits, etc)?
___________________________________________
_____________________________________________________________________
NCOAR wants
you to consider all options that are available to you. We can offer
you
advice, consultation, or put you in touch with someone that might be able to
help
you
continue to live with your companion.
Do you still want to give up this
bird?______________________________________
Donor/Co-Owners Signature: ____________________________________________
Address: _____________________________________________________________
Phone Home: ( ____ ) ( ____ ) ( ______ )Work: (__
) ( ___ ) ( _______ )
Date: ____________________________
3659
44827