North-Central Ohio Avian Rescue,

Quality of Life through Education,

Rescue, Rehabilitation and Adoption

                                    DONOR FORM

Species of parrot for adoption: ____________________________________________

What is the parrot's name? _______________________________________________

How long has the bird been in your possession? ______________________________

      Why are you placing this parrot? __________________________________________

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How many homes has the parrot had and why? ______________________________

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      Are you sure you want to give up this bird? _________________________________

      NCOAR, encourages you to try to work out any problems that you may have. 

      We want what is best for you and the bird.

      Approximate age of parrot? ______________________________________________

      Sex (if known)? ______ was it DNA or endoscopically sexed? __________________
     

      If so, is there a certificate available? _______________________________________

      Does the parrot have any specific requirements (list)?__________________________

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Are cage, perch, toys or food included (list)? ________________________________

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Does the parrot have any specific food preferences (list)?_______________________

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      Does the parrot prefer or dislike men or women? _____________________________

Are you sure you want to give up this bird? _________________________________

NCOAR would like to assist you in any way we can to help you keep this bird.

Does the parrot like children? ____________________________________________

      Would you like visitation or any further contact with the parrot? _________________

( Visitation is not recommended as it will confuse the bird. )

       If so, how, calls, visitation, pictures? ______________________________________

       Does the bird scream? _______If so at what intervals? ________________________

       Does the bird bite? _______  How often and when? __________________________

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      Who is the parrot's avian vet? ____________________________________________

Address:_____________________________________________________________

Phone Number: ( ____ ) ( ____ ) ( ______ )

Is the parrot on any medications? _________________________________________

Has the parrot had any diseases or medical problems? _________________________

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      Has the parrot had any vaccinations? ______________________________________

      Does the cage require covering? __________________________________________    

      What is the parrot's bedtime? _____________________________________________

      Has the bird ever been bred?  ____Is the bird banded? ____ Micro chipped? _______

      Is there anything else about the bird you would like the new owner to know (likes, or
      dislikes, personality traits, etc)? ___________________________________________

 

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NCOAR wants you to consider all options that are available to you. We can offer

you advice, consultation, or put you in touch with someone that might be able to help

you continue to live with your companion.

      Do you still want to give up this bird?______________________________________

      Donor/Co-Owners Signature: ____________________________________________
      

      Address: _____________________________________________________________
   

      Phone Home: ( ____ ) ( ____ ) ( ______ )Work: (__ ) ( ___ ) ( _______ )

      Date: ____________________________

North-Central Ohio Avian Rescue

3659 St. Rt.598

Crestline, Ohio

44827