Brenda's Birds Inc.
324 N.E. 3rd Avenue
Delray Beach, Florida  33485
(561)278-5394

   
 

Please fill out this e-mail form completely!  We may know you and your bird but there are other staff members who have not had the pleasure of meeting you.  If you would like to print a form to fill out by hand click here.  

IF YOUR BIRD IS ILL WE WILL NOT BOARD YOUR PET.

Today's Date: Thursday, October 25, 2001
Drop Off    Pick-Up 


Personal Information

Customer Name:
             Address:
                   City:    State:   Zip Code:
Phone # (Incl. Area Code):       ER # (Incl. Area Code): 
E-mail Address
How do you prefer that we contact you to confirm?

Birds You Would Like to Board

How many birds would you like to board? 
Type of bird: Birds name:
Type of bird: Birds name:
Type of bird: Birds name:
Type of bird: Birds name:

Details of Your Birds Needs

What does your bird(s) eat?

Is this bird(s) hand fed?    If yes, how many cc's?  How many times a day?
Does your bird require any medication?
If yes, please explain what kind of medication and when it is to be given.
Does your birds care require an special instructions? 
If yes, please explain.

 

Boarding Prices: Small Bird: $3.00 per day
Medium Bird: $4.00 per day
Large Bird: $5.00 per day

*There will be a $10.00 per day charge for hand feeding birds.  The prices above are per bird and there will be no exceptions.

Note: We cannot be responsible for anything that happens if the bird/birds have not been recently & fully vet checked prior to boarding.  If in the event something does happen we would take the bird to a vet at the owners expense.  If incident was due to our negligence, we, at our discretion, then can be responsible for the bird in a fair manner.  We are not responsible for fire, theft, or acts of nature.  We are not responsible for a pre-existing condition, poor health, old age or incorrect instructions that result in illness or death.