Florida Parrot Rescue & More
*Business Contact Hours 8AM - 8PM Only

 Relinquish Form

Name of Bird______________ Species _________________________ Band # (if present) __________
Gender  M  F  (DNA Sexed  Surgical Sexing Laid eggs )
Approximate Age _________   Hatch Date (if known) ______________
Name of Owner(s) ______________________________________________________________________
Address _________________________________________________________________________
City, State, Zip Code ____________________________________________________________________
Telephone (H) ___________________________ (W)_____________________________
Reason for giving up your bird_____________________________________________________________

How did you hear about Florida Parrot Rescue?

Donation Amount_________________________________________________

By signing this Relinquishment Agreement you  transfer ownership (The term “you” as used in this agreement applies
to anyone signing this agreement as a relinquishing owner) of the bird described above, and any included accessories,
to Florida Parrot Rescue, hereafter referred to as FPR. You also give release of any and all veterinary
records pertaining to the relinquished bird. It would be appreciated if you can have a copy of any veterinary records
submitted at the time of your relinquish.
You acknowledge your understanding that the relinquishment of the above bird does not qualify as a tax-deductible
 Would you like to request a receipt?   YES   NO        If yes, what items are you donating and what is their value? Please
be aware that we will only issue a receipt for Fair Market Value of item(s). If you donate an item with a value over
$500.00, be sure to get an appraisal. The IRS may reject your deduction if you do not have an appraisal.
You warrant that you are the sole owner of the above bird, having the right to transfer its ownership, and that there are no encumbrances on or other ownership interests to the bird.
FPR will not sell or breed this bird or allow its adoption to anyone that will. FPR will exercise due diligence in screening and selecting potential adopting families in an effort to find the best possible home for this bird. You acknowledge and agree that in relinquishing this bird, you give up any right to participate in the adoption process. We
keep adopting and relinquishing families confidential. You acknowledge your understanding that FPR does not grant visitations once this bird is relinquished. Prior to any
subsequent adoption FPR will at times, intervals, and by means of it’s own choosing provide to you periodic updates regarding this birds well being if you so request.

You agree to defend, indemnify, and hold harmless FPR from and against all actions, claims, damages, losses, and expenses (including reasonable attorneys fees) if any of the above warranties are incorrect or incomplete, or if you breach this agreement. Florida state law will govern this agreement, and you agree that any litigation arising under
this agreement will be brought in a court having jurisdiction within Florida.
You agree, without additional consideration to sign, acknowledge, and deliver any other documents and take any other action necessary or appropriate and reasonably requested in order to carry out the intent and purposes of this agreement.
I have read this agreement, understand it, and agree to its terms.

Your Signature / Date

FPR Representative/Foster Signature / Date