Parrots For Life Request Form

Parrots For Life Request Form

**PLEASE NOTE: This form must be completed on a desktop or laptop - if you use a cell phone or tablet, the system may not accept your form. Please also wait until you receive a pop up screen saying your form has been submitted BEFORE closing the web page**
Although you can't leave money directly to a companion animal, there are lots of things you can do to make sure your pets are well provided for when you can no longer take care of them. You have two options:
1.) Leave your companion to someone in your will or living trust (family member or friend)
2.) Sign up with a non-profit rescue or sanctuary to provide or find a home for your animal(s)
If you don't name a new owner in your will or trust, one of three generally undesirable consequences could result:
• Your pet(s) will go to the residuary beneficiary of your will (the beneficiary who inherits everything that's not taken care of by the rest of the will); or
• If you don't have a will, your pet(s) will go to your next of kin, as determined by state law; or
• Your pet(s) may be sent to the local animal services in your area where you run the risk of him/her being euthanized.
If you have decided you would like Florida Parrot Rescue to be the place where your parrot(s) “land” please fill out the following Parrots for Life Request form and our relinquishment coordinator will speak with you about the proper documentations we will need.
Please fill out only one form for all of your parrots - but please specify if any are bonded.
Full name*
Street address*
City, state, zip*
Home phone number*
Cell phone number*
E-mail address*
Name, species, age, band/microchip number, and sex (if known) of each parrot*
Tell us about each of your bird(s) temperament, likes, dislikes, any issues he/she may have, does your parrot(s) bite, scream, what type of toys does your bird(s) like, does your parrot(s) have a preference for men, women, children, etc...*
Does your parot(s) have a veterinarian? If so, when was the last time your parrot(s) was seen? Please provide the name, phone number, and address of your veterinarian.*
Is your parrot listed in your will? If so, please provide the full name, address, and phone number of your attorney, trustee, or the person in charge of handling your estate. Please also list the name, address, and phone number of the person in charge of making sure your parrot(s) is properly cared for until we are notified.*
Will you be leaving a trust to provide care for your parrot(s) for his/her new home and/or a donation to Florida Parrot Rescue to care for your parrot(s) until adoption placement can be made?*
Describe the size and condition of each parrots cage.*
Does your bird(s) have any medical conditions you are aware of or has your bird(s) ever had a disease or major medical issue??*
Please describe your parrot(s) diet in detail.*
Are your parrots wings clipped on a regular basis?*