Surrender Form

Surrender Information
Important Notice: Birds We Cannot Accept
Thank you for considering What the Flock Rescue for your bird. Due to Idaho Fish and Game regulations and our rescue's intake limitations, we are unable to accept Wild birds, Pigeons, Quakers, Lovebirds, Finches, Budgies, Chickens, or ducks.

We understand that finding help for a bird in need can be difficult, and we appreciate you taking the time to reach out to us. Unfortunately, we are unable to accommodate these species at this time.

Thank you for your understanding and for caring about the well-being of birds.

— The What the Flock Rescue Team
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred method of contact
Where did you hear about What the Flock Rescue?
Is the person completing this form the legal owner of the bird?
If no, explain your relationship to the bird.

Bird Information
Bird's Name
Species/Type
Sex
Age/ Date of Birth
How long have you owned the bird?
Has the bird previously been surrendered, adopted, or rehomed?
Please upload a photo of the bird

Cancelof

Health & Veterinary History
Current Veterinarian
Date of last veterinary examination

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Has the bird ever been diagnosed with a medical condition?
If yes, explain:
Current Diet:
Is the bird showing any signs of illness or injury at this time?
Veterinary records upload, if available:

Cancelof

Behavior & Temperament
How would you describe the bird's personality?
Is the bird tame, partially tame, or untamed?
Does the bird scream excessively?
Does the bird enjoy being handled?
Any known fears or triggers?

Environment & Daily Care
What type and size of cage does the bird currently live in?
How much time does the bird typically spend outside the cage?
What does a typical day look like for the bird?
What treats does the bird enjoy?
Does the bird have experience with other birds?
Are there other pets in the home?
Are there any household circumstances that may affect the bird's care?

Social & Placement Information
Are there any people the bird is particularly bonded to?
Are there specific types of homes/environments you believe would be inappropriate for this bird?
Is there anything a future adopter should know about this bird?

Reason for Surrender
Why are you considering surrendering your bird?
How long have you been considering surrender?
Is the surrender due to a temporary or permanent situation?
Have you considered any alternatives to surrender?
Is there anything What the Flock Rescue may be able to help with before surrender becomes necessary?
Is there anything else you would like us to know about your circumstances?

Surrender Agreement & Authorization
Signature
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: