Adoption Application

Please fill out this application if you are looking to adopt. We look forward to working with you and finding you your perfect match!

Date Date * / MM / DD YYYY
Applicant Information
Name Name * First Last
Check here to certify that you are eighteen years or older. ID may be asked for upon arrival at the rescue. You MUST be older than eighteen in order to adopt. If you are adopting as a family pet, this bird is the sole responsibility of the parent. As a parent, you are consenting to be held responsible for all care necessary during the lifetime of this bird *

Check here to certify that you are eighteen years or older. ID may be asked for upon arrival at the rescue. You MUST be older than eighteen in order to adopt. If you are adopting as a family pet, this bird is the sole responsibility of the parent. As a parent, you are consenting to be held responsible for all care necessary during the lifetime of this bird Yes, I am older than eighteen. If I am a parent, I am consenting to be the sole responsible party for the bird who I am qualified to adopt.
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
Living Arrangements
Type of Residence *

Type of Residence Home Apartment Condo Other Other
Do You Rent or Own? *

Do You Rent or Own? Rent Own
If you rent, do you have the landlord's consent to have a bird?

If you rent, do you have the landlord's consent to have a bird?
Yes No
Do all parties in your household know that you are applying to adopt a bird? *

Do all parties in your household know that you are applying to adopt a bird? Yes No
Are you aware that exotic birds may carry diseases that can infect humans? *

Are you aware that exotic birds may carry diseases that can infect humans? Yes No
Does anyone in the household have allergies or asthma? *

Does anyone in the household have allergies or asthma? Yes No
Does anyone in the house smoke? *

Does anyone in the house smoke? Yes No
Who will be the primary caretaker of the bird? *
Who will care for the bird when the primary caretaker is away, either for business or vacation?
*
Time
Approximately how much time will the responsible person have available to spend with the bird? *
How many hours a day would the bird be left alone?
*
Expectations
Why are you interested in adopting a bird? Please answer with 3-4 reasons. A one to two word response will not be considered. *
What are the most important characteristics you are looking for in a bird? Please elaborate on why these characteristics are important to your household. *
What species of birds are you interested in?
Note: If you're only interested in one species, we do ask you be open to others. *
Bird Care
What do you feed an exotic bird? *
How will you provide daily exercise and entertainment for your bird? *
. Do you have any experience in keeping birds? (Personal, not through family) PLEASE EXPLAIN WHAT SPECIES OF BIRDS, HOW LONG YOU HAD THEM, and WHAT HAPPENED TO THEM. *
Do you currently have birds in your home? If so, what are their species and gender? *
Please list all other pets who reside in the home:
Would you be willing to attend a class on bird care if available?
*

Would you be willing to attend a class on bird care if available?
Yes No
Do you know an avian veterinarian? *
Please list two personal references regarding your pet experience (If you have none, please list people who can give references for you): *
Would you like us to
recommend an avian veterinarian? *

Would you like us to
recommend an avian veterinarian? Yes No
Have you made arrangements for your bird(s) in the event of your illness or death? *
Bird Behavior
Are you aware that exotic birds might have or develop bad habits such as destruction of clothing,
furniture, drapery, etc.; biting; screaming; dislike of strangers or certain household members; and leaving
droppings everywhere? Are you aware that these habits can be difficult to break? *
If your bird develops a bad habit what will you do? *
How did you hear about us? (i.e. Internet, referral, etc.)
Draw your signature into the box below. By signing this application, you are acknowledging that you know there IS an adoption fee. This fee varies with each bird. *

Clear

Adoption Application

Adoption Application

Applicant Information

Living Arrangements

Time

Expectations

Bird Care

Bird Behavior