Bird Surrender Form

Please note, as a foster-based rescue, wait times for intake may vary.

A member of our intake team will reach out within 72 hours of receiving your surrender form with any additional questions, next steps and will be able to answer any questions you have.
If this is an emergency, please email intake@staravian.org AFTER submitting this form. We are not able to intake birds without this form filled out in its entirety.

Due to the number of applications received, we are not able to call applicants. Email is our contact method. Applicants are responsible for monitoring these emails.

If you do not receive an email from us, please check your SPAM folder. If you have not heard from us, please email intake@staravian.org.

Date: *
Contact Information
First Name *
Last Name *
Email *
Address *
City *
State *
Zip Code *
Cell Phone Number * if no cell, please write "N/A"
Please note: our intake team will often text to coordinate intake. Supplying a cell number is encouraged to avoid delays in intake. You will be notified via email prior to our intake team reaching out to coordinate intake.
Secondary Phone Number (landline):

Are you the legal owner of the bird(s) being surrendered? *
Are you filling this form out on behalf of another person? *
Is the owner is recently deceased? *
Are you able to provide executorship documentation and/or copy of Trust that allows you to turn the bird over to STAR?
If you are not the legal owner, but the owner is still living - please explain the circumstances.
Please note, the surrendering owner may be required to sign a release of rights at time of transfer.
Bird Information Please be as truthful about any issues as possible. Behavior and/or medical issues will have no bearing on bringing a bird into our foster program. More information will allow our team to ensure proper placement is made within our foster homes and will allow our team to be able to offer any potential advice to managing any issues until we are able to bring them into our program.
Bird's Name *
Species *
Subspecies or coloring *
If the bird(s) being surrendered is a federally or state listed endangered species, there may be additional required information regarding ownership history, permits and/or ownership/hatch records. Please note, these are not necessarily required, but depending on circumstance, may be. More information will be shared during the intake process.

Age (Hatch Date if known)
Check if age is a guess or estimate:
Sex (if known)

If known: How and when was the sex verified
If known: How and when was the sex verified

When did you acquire the bird? *
Where did you acquire the bird? *
If other, please explain
What is the bird’s history? (previous owners, reason for previous rehoming …etc):
Current Diet Please be as specific as possible.
Current Diet- include brand and type (seed or pellet ...etc.): *
Does the bird eat fresh fruits/vegetables (or other "people" food)? If so, regularity and favorites?:
Do you have vitamin supplements?
If yes, please describe:
Any other notes/details regarding diet including favorite or disliked foods:
Medical History
Do you currently have an avian veterinarian? *
Clinic's Name
Address
City, State, Zip Code
Phone Number:

How often do you take the bird to the vet?
When was the bird's last vet visit?
What was the reason for this visit?

Is the bird banded?
If yes, what is the number?
Is the bird micro-chipped?
If yes, what is the brand?

Describe the bird's overall physical condition/health: *
Has the bird ever sustained any injuries?
If yes, please describe:
Has the bird ever had surgery?
If yes, please describe (reason, where surgery was performed ...etc):
Has the bird ever been treated for any diseases/illnesses?
If yes, please describe:
Has the bird ever taken any medications?
If yes, please list and give reason for medication and any other details (still taking them, dosage ...etc)
Has the bird ever been on herbal or other alternative therapies?
If yes, please describe:
Any additional comments/information regarding the bird’s health history:
Routine Care
Who is the bird's primary caregiver?

Cage:
Please describe the bird’s current cage and cage set-up: * *
What type of perches and/or toys does the bird prefer?:
Photo of current cage:
Daily Care:
Describe the bird’s sleeping habits (bedtime, wake-up time, hours of sleep …etc.): *
Do you cover the bird’s cage at night?:
Does the bird have a history of night frights or other sleeping issues?:
Describe the bird’s bathing habits (frequency, likes/dislikes):

How much time does the bird spend outside of the cage each day?:
Please describe the bird’s play areas, favorite games, activities ... etc.

How much time does the bird spend alone?:
Do you leave the radio, TV or other audio/video on for the bird?:

Any additional comments/information regarding the bird's daily routine/care:
Behavioral Information
Is the bird hand tame? *

Does the bird have any known behavioral problems (i.e. screaming, plucking, aggression, etc.)? *
Please be honest. Known issues will not prevent us from bringing in a bird, but will help us in understanding their behavior and will enable us to provide the best placement situation as possible.
Please describe (please be as descriptive as possible):

Has the bird been around other birds/animals?:
Please describe (i.e. enjoys company of other birds, is frighted of dogs …etc.):
Who is the bird’s favorite person?
How does the bird interact/react to others (strangers, others in household, children …etc.)?:

Why do you feel surrender of the bird is the best option?: *
Would assistance with education or behavior modification be a possibility as a means for you to keep the bird?: *

How did you learn about STAR - St. Louis Avian Rescue? *
Additional comments or information you would like to share:

Photo of your bird(s)
Optional additional photo
Do you have veterinary, adoption, hatch or other records (i.e. DNA certificates) that you would be willing to share with us?:
If yes: Please upload a copy below (if image file) or email copies (at your convenience) to records@staravian.org (with the name and species of the bird). If you are not able to upload or email, a paper copy may be given to a STAR representative at the time of intake.
Optional: Copy of Medical or other records
Optional: Copy of Medical or other records
Optional: Copy of Medical or other records

Are you planning to donate the cage with the bird?: *
Donation of cage/supplies does not affect the decision to bring birds into our program. Please note: While we are grateful for donations of supplies and cages, we may not be able to pick up cage donations at the time of surrender due to various factors. We cannot accept cages that are rusty or damaged. Cages must be clean upon intake. If the cages are in safe condition, providing additional information will help our intake team accommodate pick-up as best as possible. Please keep in mind that cages may need to be dropped off at a donation drop-off location after intake.
Cage Size (width & depth of cage): Width & Depth of actual cage, not including seed guards. Height measurement not needed.
BarSpacing
Photo of Cage and/or Supplies
Optional: Photo of Cage and/or Supplies
Optional: Photo of Cage and/or Supplies

Would you be interested in making a donation to STAR to assist in covering veterinary and other costs?
Thank you. Donations may be made via cash/check at time of intake, or virtually via PayPal, Venmo, CashApp or Credit Card. If you have any questions, a member of the Intake Team will be able to assist you.
While we do not require a fee for placement into our program, as a nonprofit that runs off of donations, it is always appreciated. STAR is a 501c3 non-profit and all donations are tax deductible.
Veterinary & Rights Release
By signing below, I understand the following: I understand that I am relinquishing the aforementioned bird(s) to STAR - St Louis Avian Rescue Inc ("STAR") and I agree that STAR shall have legal possession and ownership over the bird(s). I relinquish all claims to the above listed bird(s) at the time of transfer. I understand that this transfer of ownership will not take effect until the physical transfer of the bird into the possession of a STAR representative. I further understand and acknowledge that I will not be contacted regarding the bird(s) being adopted nor will I be provided with information about the adoptive home. I understand that any updates on the bird(s) after they have been surrendered will be given at the discretion of STAR - St Louis Avian Rescue Inc. I further certify that STAR St Louis Avian Rescue Inc may choose to keep all information regarding the status of the bird private. I understand that if I want the bird(s) returned to me, that I will be required to apply for the bird and pay any adoption fees and/or incurred vet fees associated with them. I also understand that I may be denied the return of the bird. I hereby authorize the release of ALL veterinary medical records to representatives of STAR - St Louis Avian Rescue Inc for the aforementioned bird(s). All information listed above is true and accurate to the best of my knowledge.
Signature Instructions: Use your mouse to sign your name by clicking and holding it down as you write if not using a touchscreen device.
Signature *

Once submitted, our intake team will reach out in the next few days to confirm receipt of your surrender application, ask any follow up questions and to go over next steps. If you do not receive an email from us, please check your SPAM folder. If this is an emergency, please email intake@staravian.org AFTER submitting this form.

Bird Surrender Form

Contact Information

Bird Information

Current Diet

Medical History

Routine Care

Cage:

Daily Care:

Behavioral Information

Veterinary & Rights Release