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

Second phone

Email Address

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

Animal Applying for Dog Cat Bird Reptile Rodent Other

Breed or name of Animal listed?

Please tell us why you want this breed or prominate breed

What is your age preference?

6 months or under

6 months - 2 years

2 years or older

doesn't matter

Do you want a male or female?

Male

Female

Please describe where this animal will spend time while no one is home. How many hours a day will the animal be alone every day? Where will your new potential pet sleep at night?

Most of our dogs come from shelters and need obedience training. What is your opinion on formal obedience training classes?

Do you live in a(an)

House

Appartment

Trailer

other

Do you

Own

Rent

Do you have permission to own the animal applying for if you rent?

Yes

No

Do you have a fenced in yard?

Please explain fencing

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?

Any other comments you may have regarding your adoption of this animal? Please feel free to explain why your family is best suited for this animal listed in the application

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.