Bird Adoption Form

Bird Adoption Application

Before filling out this application, please be aware that the animal you are applying for may not be available or may not be sutible for your home. We want to be certain that our animals are going to be entering forever homes! They have been through enough stress in their lives. Please make sure to do some research (if not already done) on the financial and physical investments you will need to undergo in adopting the animal you are interested in. Please understand that if any of the information obtained in the application is in any way found to be false, this application can be refused! Thank you for your understanding!

First Name

Last Name

Name, ages, & Relationship of all other members in the household

Address 1

City

State

Zip

Phone

Second phone

Email Address

Does anyone in your home smoke?

yes

no

Please provide us with a personal reference, phone number and email address for reference. Can NOT be a family member.

Animal Applying for

Breed of Bird and/or Birds name?

Please tell us why you want this particular type of bird or bird?

Are you willing to take?

a bird with behavioral problems

a handicapped bird

a bird that doesn't talk

a bird that has some medical problems

Under what circumstances would you not be able to keep the bird?

Are you aware that hook-bills have a normal urge to chew wood, buttons, jewelry, furniture, molding and any other thing that may get in the way of their potentially destructive beaks????
All parrots have the capability of talking, but not all will talk. Some birds will scream in loud pitches, continuously. They may just need attention, food or love. They may also have behavioral habits that could be hard to
break. How would you handle these situations?

Parrots can require a lot of attention and maintenance. Medical attention and properly feeding the bird can be expensive. Have you considered this?

Do you live in a(an)

House

Appartment

Trailer

other

Do you

Own

Rent

Do you have permission to own a bird if you rent?

Yes

No

How many hours will the bird be left alone on any given day?

Where will the bird's cage be located?

Please tell us about any current or past pets you have had. Veterinarian name and phone number that treats/treated them, are/were they spayed/neutered? Are your pets kept indoors? Who would be your AVAIN Vet?

Why do you feel you are qualified to adopt a bird?

Signature

Date

We would like to thank you for considering adoption! Please be patient and as soon as we can process your application we will get back with you. Please keep in mind that our birds being placed will either live their lives with you or they will come back to us! There are no exceptions to this rule!