Name:
Full Address
Phone #
Vet Info:
dorm
1. Do you live in a house condo/apart. mobile home with parents other
yes
No
2. If you rent, will your landlord object to your having a reptile or bird? (Note: failure
Don't Know
3. How long have you lived at your present address?
4. Are you planning to move in the next 6 months? If you move, what are you planning to
5. Have you adopted an animal before? If yes, what is the current status of that animal?
6. If you must give up this animal, what do you plan to do? (You must contact us before giving up a reptile or bird
7. Have you ever brought any of your own animals to a shelter or rescue society? If yes,
8. Have you owned or cared for birds before? If yes, what kind (species name):
9. If you no longer have these animals, please explain how long you had them and why you no longer have them:
10. Do you already have a avian veterinarian who is experienced in evaluating and treating birds? If yes,
11. If your new pet gets lost, what steps will you take to find it?
12. How much do you anticipate spending yearly to provide the appropriate food, medical care, permits
13. What types of supplies and food do you think you will need for the animal you wish to adopt?
14. How much do you think it will cost for you to acquire the necessary supplies and food?
15. What size enclosure do you have or do you plan on buying/building for your new pet? (pics will be required)
16. How many adults in your household? Number of Children? Name, ages and relationships of all family members
17. Do all family members favor getting this type of animal?
18. Which member(s) of your household will be primarily responsible for the feeding, cleaning, handling (if
19. If you are interested in adopting a particular species or type of bird, please tell us what you already
20. Many parrots may live more than 70 years. Are you ready to take responsibility for the animal you
21. What books or other materials have you read about the animal you wish to adopt? What books relating to
22. Do you belong to a avian society If so, which one(s):
23. It is not uncommon that a bird will bond with only one member of your home, and show aggression to
24. What kind of traits are you looking for in a bird? Are you willing to adopt a handicapped, non-perfect bird or a
25. What other types of animals do you currently have birds,cats,dogs,reptiles,etc?
26. What will you do about care for your bird when you have to travel on business or vacations?
27. Are you a smoker, if so do you or anyone else smoke in your house?
28. How many hours a day are you or your partner away from home? How many hours do you plan on having the
29. Please put down any other pertinent information you think will help me get to know you better as a 'parent.'
30. Which rescue birds are you interested in adopting on our available page. If requesting for future adoption,
E-mail:
