Please scroll down to bottom before you start and press "Submit." If it doesn't open your email, you will have to download the form.
The following LOST BIRD REPORT will be sent from your email program so please remember to attach a photo as well.
You can review or add comments after you press "submit", and the information is only on your computer, then onto your email, so never goes on the internet.
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This form may not work with computers or phones with no Outlook or other mail program.
You can also download the Word form here and mail to firstname.lastname@example.org
1. Owner's Name:
2. Email Address:
4. Phone Number:
5. Cell Number for Texts:
6. Bird's Name:
7. Type of Bird:
8. Colour of Bird:
9. Bird is
10. Date the Bird was Lost?
11. Kijiji ad#? If you don't have one already, please make one now.
12. Answer the following questions about your bird as best as you can:
a) Head Colour:
b) Body Colour:
c) Wing Colour:
d) Back Colour:
e) Tail Colour:
f) Tostril Colour:
g) Beak Colour:
h) Nail Colour:
i) Special Markings:
13. Does your bird bite?
Tries to bite but doesn't hurt
Does not bite
14. Does your bird know how to "step up" onto your finger or hand?
Yes he steps up when asked
He knows how but doesn't always do it
He doesn't know "step up"
15. Does your bird sit or land on your shoulder or head? Check all that apply
Lands on head
Lands on shoulder
Will sit on head for a long time
Will sit on shoulder for a long time
16. What size is your bird compared to other birds the same breed?
Smaller than most
Bigger than most
17. Does your bird have his flight feathers or were they trimmed?
Used to be trimmed but grew
18. Does your bird have a band?
Yes it has a band and I know the number
Yes it has a band but I don't know the number
It doesn't have a band
I don't know
Band Number (if applicable)
19. Flight Pattern
Crashes into things
Flies lop-sided (one wing damaged)
Usually falls to the floor
20. Does your bird whistle?
It whistles but no particular tunes
It whistles tunes
It doesn't whistle
What songs? (if applicable)
21. Does your bird talk?
It babbles but hard to make out words
Yes it talks
No it doesn't talk
What words? (if applicable)
22. Can your bird be petted?
Yes it likes to be petted
You can pet some places but not on the head
Petted except with hands
It doesn't like to be touched
23. Can your bird be kissed?
Yes I kiss it and it kisses back
Yes I kiss it but it sits still
It backs away
Ouch! no! Don't go near its beak!
24. Is your bird toilet trained?
Yes it goes on command
Yes, it goes back to the cage/ certain spot
It doesn't go on me but other places
No, it goes wherever, whenever
I don't know
25. What commands or words does your bird know or understand?
26. Are there other behaviors or noises that your bird makes that would be different than others of its type?
27. What are your bird's favorite toys? (select all that apply)
Other Favorite Toys:
28. Is it afraid of anything?
29. Do you have video on Youtube.com of your bird? If so, what's the link?
30. Story of how your bird got away:
31. Any other comments?