Thank you for applying to adopt a bird from CPR!

Please fill out the form below and you will be contacted directly by the volunteer coordinating your home visit. Please be aware that CPR has the right to deny any adoption without cause.

    I, , do hereby relinquish a , named to Companion Parrots Re‐Homed on

    .

    I understand that the parrot I am relinquishing will be the sole property of CPR. I also understand that the parrot being relinquished will be examined by a veterinarian and that CPR has full authority to make medical decisions which are in the best interest of the bird. It is asked that the owner relinquishing the bird help cover the cost of veterinary fees, which can run up to $200, whenever possible. A tax deductible receipt will be provided for donations to offset vet expenses. Inability to donate does not disqualify the bird from entering the program. In addition to the parrot listed below I understand that if I donate the bird’s cage and accessories, these items become the sole property of CPR. I agree to furnish to CPR the information below to assist with the adoption process and minimize stress to the bird during the forthcoming transition period.

    Background Information

    MaleFemaleUnknown

    Health and Care Information

    When was the last time the bird visited a veterinarian?

    YesNo

    YesNo

    YesNo

    YesNo

    MenWomenBoth

    YesNo

    YesNo