Parrot University Boarding Reservation FormUpon receipt, we will contact you to confirm your reservation and process your deposit. Owner InformationName(Required) First Last Contact Number(Required)Additional NumberEmail Address(Required) Street Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Reservation RequestNumber of Nights(Required)Number of Birds(Required)One BirdTwo BirdsThree BirdsType of Room(Required)PrivateCommunalDrop Off Date(Required) MM slash DD slash YYYY Preferred Drop Off Time(Required) Hours : Minutes AM PM AM/PM Pick Up Date(Required) MM slash DD slash YYYY Preferred Pick Up Time(Required) Hours : Minutes AM PM AM/PM Requirements and AuthorizationOwner signature required with reservation. No exceptionsDrop off and pick up is by appointment only. Pick up outside of regular store hours is available for an additional fee, depending on staff availability. Bird must be dropped off in carrier. Carrier must stay at Parrot University until bird is picked up. Parrot University will provide cage. Owner must provide perches and toys. Harrison’s, Roudybush and fresh foods can be provided. Other food to be provided by owner. Proof of wellness exam within 12 months, by approved veterinarian, must be provided in advance. Proof of psittacosis exam within 12 months, with negative results, must be provided in advance. Proof of current polyoma vaccine required in advance for all birds less than two years old. 25% credit card deposit required upon acceptance of reservation. 48 hour cancellation required. Holiday boarding deposits are non-refundable within 30 days of holiday. In addition, owner agrees that if they fail to make arrangements with Parrot University staff for their bird at the end of the boarding period, after sufficient notice, usually by phone and e-mail, within 30 days of notification, bird will be made available for adoption.Authorization(Required) I have read the requirements above. I authorize Parrot University to care for my bird during the dates listed above. In the event that I cannot be reached during a medical emergency, I give permission for stabilizing veterinary care to be provided at my expense.Signature of Owner(Required)Date(Required) MM slash DD slash YYYY Bird InformationBird’s Name(Required)Species(Required)Gender(Required)Age(Required)Has bird been around any birds that do not reside in your home, within the past 12 months?(Required)YesNoVeterinarian(Required)Date of last wellness exam(Required) MM slash DD slash YYYY List all health issues(Required)Diet(Required)RoudybushHarrison’sOtherDescribe DietSpecial Instructions (medications, nightlight, other preferences)(Required) Water bottle Water bowl Brunch/chop Nightlight (must be provided by owner) Cover at night (must be provided by owner) Medication (must be provided by owner) Extra treats (must be provided by owner) Other Additional InstructionsBird #2 InformationBird’s NameSpeciesGenderAgeHas bird been around any birds that do not reside in your home, within the past 12 months?YesNoVeterinarianDate of last wellness exam MM slash DD slash YYYY List all health issuesDietRoudybushHarrison’sOtherDescribe DietSpecial Instructions (medications, nightlight, other preferences) Water bottle Water bowl Brunch/chop Nightlight (must be provided by owner) Cover at night (must be provided by owner) Medication (must be provided by owner) Extra treats (must be provided by owner) Other Additional InstructionsBird #3 InformationBird’s NameSpeciesGenderAgeHas bird been around any birds that do not reside in your home, within the past 12 months?YesNoVeterinarianDate of last wellness exam MM slash DD slash YYYY List all health issuesDietRoudybushHarrison’sOtherDescribe DietSpecial Instructions (medications, nightlight, other preferences) Water bottle Water bowl Brunch/chop Nightlight (must be provided by owner) Cover at night (must be provided by owner) Medication (must be provided by owner) Extra treats (must be provided by owner) Other Additional InstructionsEmergency Contact InformationEmergency contact person if owner cannot be reached(Required) First Last Telephone(Required)RelationshipEmergency contact person is authorized to pick up my bird if I cannot be reached(Required) Yes No
