RUFFLED FEATHERS SANCTUARY

SURRENDER ELGIBILITY

WHILE WE DO NOT TURN BIRDS AWAY, IT IS CRITICALLY IMPORTANT THAT WE KNOW AHEAD OF TIME THAT A BIRD IS BEING SURRENDERED.

ALL SURRENDERS ARE CURRENTLY DONE BY APPOINTMENT ONLY, APPOINTMENTS CAN BE SCHEDULED THROUGH FACEBOOK MESSENGER OR THROUGH CALL OR TEXT TO 443-974-5474

WE ARE ONLY ABLE TO "PICK-UP" BIRDS (WITH SIGNIFICANT PRIOR NOTICE) FROM ALONG THE EAST COAST BETWEEN PENNSYLVANIA AND FLORIDA.

RELINQUISHING YOUR BIRD(S) TO RUFFLED FEATHERS SANCTUARY

RUFFLED FEATHERS PARROT RESCUE AND SANCTUARY HAS NOT PROVIDED, IN WHOLE OR IN ANY PART, ANY GOODS OR SERVICES TO YOU IN EXCHANGE FOR YOUR TRANSFER OF THE BIRD(S) NOR IS OTHERWISE OBLIGATED TO YOU OR ANOTHER, NOW OR IN THE FUTURE IN CONNECTION WITH ANY TRANSFER.

WHEN YOU FILL OUT THIS FORM YOU ACKNOWLEDGE THAT RFS ACCEPTS THE TRANSFER OF THE LISTED BIRD(S) SOLELY ON CONDITION THAT YOU HAVE THE RIGHT TO RELEASE, AND HEREBY DO RELEASE ABSOLUTELY AND WITHOUT FURTHER CLAIM, THE BIRD(S) TO RFS.*

I ACKNOWLEDGE I HAVE THE LEGAL RIGHT TO SURRENDER THE BIRD(S)

YOUR INFORMATION

NAME OF TRANSFEROR*

FIRST LAST

ADDRESS*

STREET CITY STATE ZIP

PHONE NUMBER*

E-MAIL ADDRESS*

BIRD INFORMATION

IF YOU ARE SURRENDERING MORE THAN ONE BIRD, PLEASE ENTER INFORMATION FOR ALL OF THEM AND USE PARENTHESIS TO DISTINQUISH BETWEEN THEM
EX: BIRD NAME: (Peaches)(Polly) BIRD SPECIES: (Cockatoo)(Scarlet Macaw) etc...

BIRD NAME*

BIRD SPECIES*

BIRD AGE

IF EXACT AGE UNKNOWN PLEASE ENTER APROXIMATE AGE IN QUOTATION MARKS
EX: "12+"

BIRD SEX

IF UNKNOWN PLEASE ENTER N/A

BIRD WEIGHT

CLOSEST APROX WEIGHT

BAND NUMBER

ENTER N/A IF THEY HAVE NO NUMBER ON THEIR BAND OR IF THEY DO NOT HAVE A BAND

BIRD INFORMATION CONTINUED

THE MORE DESCRIPTIVE YOU ARE, THE EASIER IT IS FOR US TO ENSURE YOUR BIRD ASSIMILATES WELL WITH THE SANCTUARY FLOCK

ANY PRIOR HEALTH ISSUES OR DISABILITIES?

ANY FEATHER PLUCKING ISSUES?

HAVE THEY BEEN EXPOSED TO OTHER BIRDS IN THE PAST SIX MONTHS?

WHY IS THE BIRD BEING SURRENDERED?

IS THE BIRD FRIENDLY AND ABLE TO "STEP UP"?

PLEASE LIST ALL ITEMS COMING WITH THE BIRD

SUCH AS CAGE | TOYS | TREATS

PLEASE LIST BIRD'S DIET

FOOD LIKES | DISLIKES | SUPPLEMENTS

HOW DID YOU HEAR ABOUT RUFFLED FEATHERS SANCTUARY?

BEFORE CONTINUING!!!

PLEASE MAKE SURE THE FOLLOWING IS CONFIRMED BEFORE COMPLETING THIS FORM!

NOTICE 1*

I UNDERSTAND

THAT SIGNING THIS FORM IS FINAL, ONCE THE BIRD IS IN RUFFLED FEATHERS CUSTODY I CANNOT REGAIN OWNERSHIP OF THE BIRD

NOTICE 2*

I UNDERSTAND

THAT I AM RESPONSIBLE FOR COORDINATING THE BIRD'S SURRENDER WITH THE RUFFLED FEATHERS TEAM

NOTICE 3*

I HAVE CONFIRMED MY BIRDS'S ELGIBILITY FOR SURRENDER WITH A RUFFLED FEATHERS DIRECTOR

IF YOU HAVE NOT PLEASE CONTACT US ON FACEBOOK MESSENGER OR THROUGH A CALL OR TEXT TO 443-974-5474.

FINAL STEPS

UPON COMPLETING THIS FORM I ACKNOWLEDGE MY TRANSFER AUTHORIZATION TO TRANSFER BIRD(S) TO RFS:

YOUR FULL LEGAL NAME*

TODAY'S DATE*

BY SELECTING THE "I ACCEPT" BUTTON YOU ARE SIGNING THIS AGREEMENT ELECTRONICALLY. YOU AGREE THAT YOUR ELECTRONIC SIGNATURE IS THE LEGAL EQUIVALENT OF YOUR MANUAL SIGNATURE ON THIS AGREEMENT. BY SELECTING THE "I ACCEPT" BUTTON YOU CONSENT TO BE LEGALLY BOUND BY THIS AGREEMENT'S TERMS AND CONDITIONS*

I ACCEPT

Phone

This field is for validation purposes and should be left unchanged.