Thank you for Agreeing to be a reference for the applicant. 

Your responses will not be shared with the applicant. Please complete all the fields below with as much detail and honesty as possible. We take the care and well-being of our parrots very seriously. Your information will not be shared or sold to any third party. 

Your Name *
Your Name
Who are you providing a reference for? *
Who are you providing a reference for?
Does the applicant smoke? *
Does the applicant own or rent their house? *
If you needed to rehome your pet, would you trust this person to look after and provide the best care possible to your pet?
I hereby confirm that all the information provided above it truthful to the best of my knowledge. I understand that falsifying an answer could lead to the endangerment of an animal. *
Today's Date *
Today's Date