Avian Surrender Form

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The following information will help us to provide the best possible care for the bird you wish to surrender. Please fill out this form to the best of your ability. If you have any questions or need assistance please feel free to contact us.

Contact Information











Avian Information

YesNo
YesNo

Is/Does this bird:

YesNo
YesNo
YesNo
YesNo
MenWomenBoth
YesNo
DogsCatsBirdsOther
YesNo

I do hereby give this bird to Wyoming Avian Rescue for placement as they determine to be in the best interest of the bird. I understand that by signing this contract, I will have no cause or right to reclaim this bird and that Wyoming Avian Rescue is the rightful owner and may retain the rights to make any and all decisions concerning this bird.

Legal Stuff

The courts of Wyoming, Fremont County will have exclusive jurisdiction to adjudicate any dispute arising under or in connection with this Agreement.

I understand that by entering my Name, date, and email below serves as my electronic signature and is legally binding.

I accept the terms laid out herein.