Exotic Bird Adoption Application

Exotic Bird Adoption Application

My goal is to assure that each person applying to adopt a bird is aware of the responsibility and that they are fully capable of accepting it. Parrots are very high maintenance and require a LOT of attention from their humans. They are very special creatures with individualized needs and I need the assurance that every adoption is the best possible situation

and in the best interest of our birds and our adopters.

Bird(s) you are interested in: ______

Name: ______Date:______

Address:______City: ______State: ______

Zip:______Phone:______E‐mail:______

Do you: Rent:_____ Own: ______Other:______How long? ______

* If you rent, list landlords full name and telephone #: ______

Is your home/apartment treated or exterminated for roaches/crawling or flying bugs?: ______

Is the treatment indoor/outdoor or both?: ______Is it pet‐friendly?: ______

Full name of spouse/partner/roommate: ______Relationship?:______

If the relationship changes, who would keep the bird?: ______

What is your basic work schedule like?: ______

Spouse/partner/roommates work schedule?: ______

Number of children: ______Ages: ______Have they had birds before?: ______

Number of smokers in your household (including yourself): ______Indoors?:______

Number of animals?: ______Type of animals: ______

Do you have birds now?: ______If yes, how many: ______

If “yes”, how often do they receive veterinary care?: ______

If “yes”, what type of birds do you have?: ______

If adoption is approved, are you willing to provide veterinary records or a certificate of health for all pets living in the household?:______

If you do not have birds currently, have you ever had any experience with them?: ______

If “yes”, what species?: ______

If you are a novice at bird ownership are you willing to be involved in a process of self‐

education to expand your education of the avian species?: ______

If “yes” please explain how you plan to self-educate: ______

______

______

What is the temperature in your home? Winter: ___/___(night/day) Summer: ___/___(night/day)

Do you enjoy and make use of candles, incense, or burning oils?: ______

If “yes”, how often are they used?: ______

Since aerosol sprays, over cleaners and self‐cleaning ovens are toxic for birds are you prepared to not make use of them in your home?: ______

Are you aware that perfumes, after‐shave, most leave‐in conditioners and body sprays can be irritable/toxic for birds? ______

Are you aware that birds will bite your fingers, chest neck or face to get to your jewelry?: _____

How quickly do you need to adopt a bird and why?: ______

Are you willing to adopt a physically challenged bird?:______

Why or why not?: ______

How important to you are the following characteristics in a companion bird? (Rate each attribute on a scale of 1‐10. 1 being particularly important and 10 being EXTREMELY

important):

Color: ______Size: ______Intelligence: ______Talker: ______Price/Value:______

Ease of care: ______Cuddliness: ______Uniqueness: ______Personality: ______

Sex: ______Friendly: ______Well‐socialized: ______Multi-Person Bird: ______

What do you expect from a parrot?: ______

______

Are you aware that exotic birds are known to develop bad habits (destruction of clothing, furniture, woodwork and anything within reach, biting and screaming behavior, feather plucking and tapping, disliking of family members (this may include you or your mate), throwing of food on floors and making a mess of your walls, leaving poop droppings everywhere because they poop every 15 minutes?:______

If the bird should begin to develop bad habits as listed above, will you be willing and can you

afford to pay for an avian behaviorist to correct this behavior?: ______

Are you aware that parrots require a tremendous amount of attention and maintenance and it can be very expensive to upkeep a healthy diet and mental stimulation?:______

Under what circumstance would you be willing to not keep the bird?: ______

______

Who would be primarily responsible for the birds care?: ______

What is the initial budget for the bird you are willing to adopt?: ______

Does this budget include cage/necessities/state registration and veterinary costs?: ______

What is your yearly estimated budget for the bird, including regular veterinary care/emergencies/hospitalization/food/toys/cleaning supplies and other items?: ______

What condition is the bird cage in, and what are its measurements?: ______

Where in the household will the birds toys, stand and cage be located?: ______

What kind of food(s) will you feed the bird?: ______

How often?: ______

How often should the bird be offered fresh water in a clean dish?: ______

Who will take care of the bird during vacations or unexpected emergency of your absence?:

______

Do you have an established Avian Veterinarian?: ______

Full name of Vet office and Dr.: ______

Address: ______City/State: ______

Zip: ______Phone #: ______

If approved, you or any other person may NOT sell/trade or give the bird to a third party. If you are unable to keep or care for the bird, you MUST return the animal to ______. If for any reason the bird is lost, stolen, or flew away, posters and flyers must be done by the owner. You may NOT breed the bird or use for any profit gain or monetary exchange.

Lastly, ______reserves the right to deny any application at will.

*If available, please include any non-returnable photos of the cage setup/playstands/etc.

I certify that I am 18 years of age or older, that all information given on this application is accurate, and that I understand statement listed above.

Adoptee signature of verification and acceptance: X ______

Email this application to ______

OR mail to:

______

______

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