This form MUST be printed, filled out, signed and mailed to the above address. No boarding contracts will be accepted via e-mail.

Fine Feathered Friends Sanctuary, Inc. Boarding Contract / Release form

Fine Feathered Friends Sanctuary, Inc. (FFFS) will provide basic care by feeding, watering, cleaning, socializing, and obtaining medical assistance (in
the event of an emergency) during your pet’s stay at Fine Feathered Friends Sanctuary, Inc.

I, the undersigned, certify that I am the owner of the above described bird(s). I hereby release FFFS, their officers, agents, and
representatives from any and all liability for this bird(s). I authorize and direct FFFS to seek any medical assistance as deemed
necessary by FFFS. Boarding charges are based on a per night fee. I am aware that I will pay for any additional days, any additional food, and
any medical costs incurred for the duration of time specified. I agree to unconditionally release this pet to FFFS for the
duration of time specified. I have read and understand this consent.

Owner’s Name: ____________________________________ Spouse’s Name: ___________________________________________
Address: ___________________________________________________________________________________________________
Home Phone #: ______________________________________ Work phone #: __________________________________________
Emergency contact person: Name: _____________________________________________________________________________
Relationship to owner: __________________________________ Phone #: _____________________________________________
Bird(s) Name(s): ____________________________________________ Species: ________________________________________
Age: _____________ Sex: _________ Name of veterinarian:: _________________________________________________________
What does this bird(s) eat (be specific): __________________________________________________________________________
Care instructions (please be specific) : ___________________________________________________________________________
___________________________________________________________________________________________________________
I certify that my bird(s) have been seen by an avian vet within the last year and have attached vet records with this document to prove it

Items to be left with bird(s) during boarding (please be specific) : ______________________________________________________

Date to begin boarding: _______________________________ Date to pick up: __________________________________________

____________________________________________________________________________________________________________
Signature of owner / date

____________________________________________________________________________________________________________
Signature of Fine Feathered Friends Sanctuary, Inc. representative / date

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