Boarding Request Form Full Name * First Name Last Name Email * Phone * (###) ### #### Check any special needs, if applicable. aggression is okay, we know not all birds like everyone - we want to be sure everybody knows for our safety beforehand. Physical Handicap Dietary Limitations Aggressive Daily Medication Day of Drop-off * All pick-up and drop-offs will be at 12pm unless otherwise noted or requested. If you need a different time, please say so in the "other information" box below. MM DD YYYY Day of Pick-up * MM DD YYYY Nail Trim or Beak Trim? Select all that apply. Nail Trim and Beak Trims are $15 each, no matter the species. This is an add on service that will be a part of your total at drop-off. Nail Trim Beak Trim Bird Name * Bird Species * Bird Age * Bird Vet * To contact if there is a medical need Bird Diet * Daily food plus any treats they like Any other information you want us to know about your bird? Payment is due in full upon DROP-OFF. Birds must be tested negative for PBFD. Select yes if you understand and agree to these conditions. * Yes No Thank you!
