Surrender Request FormSurrender Request Thank you for reaching out to Little Loud Soul Bird Rescue. We understand that rehoming a beloved bird is never an easy decision. This form is a request for surrender assistance only and does not guarantee that we can accept your bird. Once your request is reviewed, a member of our team will contact you to discuss next steps.First NameLast NameAddressAddress Line 1Address Line 2CityStateZip CodeEmailPhone NumberIs it okay to text the phone number above? Yes NoWhen do you need placement? Immediately (Emergency) Within 1 week Within 30 days FlexibleIf we are unable to accept your bird immediately, would you like to be placed on our wait list? Yes NoWhat is your birds name?What species is your bird?What is the birds age and/or hatch date?What is your birds gender? Male (Confirmed) Female (Confirmed) Male (Unconfirmed) Female (Unconfirmed) UnknownHow long have you owned your bird?Reason For Surrender:How did you acquire your bird?Are you the legal owner of the bird? Yes NoHas your bird ever laid an egg? Yes NoHas your bird ever seen an avian veterinarian? Yes NoIf yes, please list the name of veterinary clinic and approximate dates.Do you have veterinary records to provide? Yes No No, but I will give info for you to request themHas your bird ever had any major illnesses or surgeries? If yes, please list them below.Has your bird ever tested positive for any infectious diseases (PBFD, Psittacosis, Polyomavirus, etc.)? If yes, please list them below.Is your bird currently showing any signs of illness? Yes NoIf yes, please list symptoms below:What is your birds favorite foods and treats? (Please list pellet brands)What is your birds usual daytime routine?What is your birds usual bedtime routine?How would you describe your bird's personality?Select any behaviors your bird displays (Select all that apply) Bites Screams frequently Feather plucks Fearful of people Loves attention Steps up reliably Cage territorial Aggressive toward men Aggressive toward women Aggressive toward children Flighted/Strong Flyer Talks or mimics soundsPlease list any behaviors not listed above:Has your bird lived with other birds? Yes NoHas your bird lived with dogs or cats? Yes NoIs your bird comfortable with strangers? Yes NoDoes your bird enjoy showers or misting? Yes NoPlease list any items that will be coming with your bird:What made you choose Little Loud Soul Bird Rescue for your bird’s surrender? (Please share what led you to reach out to us and what you’re hoping for in your bird’s next chapter.)Is there anything else you'd like us to know that would help us find the best home for your bird and make this a smooth transition for them?Submit Application
