TOTALLY FLOCKED AVIAN RESCUE PARROT SURRENDER & PERMANENT TRANSFER AGREEMENT
We understand that surrendering a parrot is never an easy decision. Many guardians arrive here after careful thought, love, and concern for their bird’s future. This Agreement ensures that Totally Flocked Avian Rescue, Inc. (“Totally Flocked”) can act fully and lawfully in the best interest of the parrot entrusted to our care.
Your Full Legal Name
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Your Address, City, State, Zip
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Your Phone Number
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Your Email
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Driver's License / ID Number - State
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LEGAL SURRENDER & PERMANENT TRANSFER OF OWNERSHIPBy signing this Agreement, I hereby voluntarily, permanently, and irrevocably surrender the parrot described herein to Totally Flocked Avian Rescue, Inc.I understand and agree that:
All ownership, custody, and control are permanently relinquished
I have no right to reclaim the parrot at any time
Totally Flocked becomes the sole legal owner
Totally Flocked has exclusive authority to make all decisions regarding: Veterinary care and treatment, rehabilitation, training, enrichment, adoption, placement or permanent sanctuary, and transfer to another qualified rescue or professional facility, if in the bird’s best interest.
REPRESENTATIONS & WARRANTIES - I certify that:
I am the lawful owner or authorized agent for this parrot
This parrot is not stolen, seized, or subject to legal dispute
I have disclosed all known medical, behavioral, and bite history
I understand that failure to disclose known issues may place people and animals at risk
PLACEMENT PREFERENCES (NON-BINDING)
I would prefer this bird remain in sanctuary - if in bird's best interest
I am open to adoption placement if an appropriate home is found
I have disclosed all known medical, behavioral, and bite history
I understand that failure to disclose known issues may place people and animals at risk
Bird's Name
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Bird's Species & Color
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Bird's Age
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Bird's Band # if any
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Has the bird been ill, or been disease tested?
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Tell me about the bird? Personality, likes, dislikes, favorite foods, injuries, special needs and/or helpful tips.
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How long have you owned the bird?
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Any information on prior homes the bird has lived in?
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What is the reason for surrender?
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Amount of donation (not required) offered to help us cover the cost of vetting/caring for this bird?
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I, the undersigned, agree with the following statements:
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I hereby surrender and forfeit any and all property/ownership rights to the bird.
I certify that no other person has a right of property to the bird.
I understand that by surrendering my property rights to the bird, the bird may be rehomed/adopted to an approved adopter.
I understand that once I relinquish the bird, the bird will not be available to be returned.
I further certify that I have read and understand the terms of this Parrot Surrender Form
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the bird(s) who is/are the subject of this Parrot Surrender Form, hereinafter referred to as “the bird.”
Today's Date
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