Full Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

 

Expect all birds to bite.  Some birds are more aggressive than others while generally our feathered residents are for the most part passive and enjoy the company of humans.  Do you understand that an injury could be anything from a pinch to a wound requiring stitches or serious damage to body areas other than skin?  Yes / No / Comment:

Arizona Exotic Bird Rescue, Inc. assumes no responsibility for any type of injury sustained to any person or personal items while on our property and shall be held harmless thereof.  Do you agree?  Yes / No

Arizona Exotic Bird Rescue, Inc., does not discriminate because of race, color, creed, religion, national origin, gender, marital status, age, disability, sexual orientation, gender identity characteristics or expression.