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Roseberry Bird Rescue Surrender Form
Surrender Form
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Email
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Your email
Date:
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MM
/
DD
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YYYY
Surrender Name(Person/Persons):
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Your answer
Phone Number:
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Your answer
Home Address:
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Your answer
I/We am/are surrendering to Roseberry Bird Rescue -
Name Of Bird/Birds:
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Your answer
Type Of Bird/Birds:
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Your answer
Age of Bird/Birds:
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Your answer
Assumed Sex of Bird/Birds:
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Your answer
Reason For Surrendering:
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Your answer
Vet/Clinic were records may be found:
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Your answer
Notes/Likes/Dislikes/Things to Know:
Your answer
I/WE understand that by surrendering the bird(s) referenced above to Roseberry Bird Rescue or a Roseberry Foster home, I/we relinquish and release all rights and claim(s) to the bird(s).
Signature(Please type your name/names below)
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