This application MUST be printed, filled out, signed and mailed to the above address.

ADOPTION APPLICATION

This application must be filled out completely. If any blanks are not filled out your application will not be processed. You may mail the application to the above address or you can copy & paste it into MS Word and email it to us at: birdlady76@yahoo.com

Please be as thourough with your answers as possible.

ADOPTION APPLICATION

Name:_____________________________________________________ Age________
Drivers License No. _____________________________________________________
Spouse/Significant Other _________________________________________________
Drivers License No. _____________________________________________________
Is this person aware of the tentative adoption? YES NO (Circle One)
Children:
Name ___________________________ Age _______________
Name ____________________________ Age ______________
Name ____________________________ Age ______________
Name ____________________________ Age ______________
Name ____________________________ Age ______________
Address: _______________________________________________________________
City/State/Zip ___________________________________________________________
Phone Home: ________________________________________ Work ______________
Best time to call/at what number?____________________________________________
Occupation _____________________________________________________________
Spouse's Occupation _____________________________________________________
If present relationship were to change, who would keep the bird?___________________
Do all members in your household know you are planning to adopt a bird? ___________
Who will be the primary caretaker? __________________________________________
How many hours daily would the bird be left alone?_____________________________
Type of Dwelling: House Condo Apartment Other ________________________
Do you Rent Own (Circle one)
If you rent, do you have the landlord's permission to have a bird? YES NO (Circle one)
Please include a letter from your landlord giving his/her permission when sending in this application.
Does anyone in your home smoke? Yes No (Circle One)
Do you own any other birds? Yes No (Circle One)
If yes, what Breed? Species? ______________________________________________
Do you own any dogs? Yes No (Circle One) How Many?___________________
Breed ____________
Breed ____________
Breed _____________
Do you own any Cats? Yes No (Circle One) How Many? __________________
What type of Parrot are you looking to adopt? _________________________________
Will you accept a bird with behavioral problems? Yes No (Circle One)
Will you accept a handicapped bird? Yes No (Circle One)
If you travel, who will care for your bird while you are away? ____________________
Do you have an Avian Vet? Yes No (Circle One)
List your Vets name, address and phone number _______________________________

How do you plan to train your parrot?_________________________________________ ______________________________________________________________________
________________________________________________________________________
Are you aware that hookbills 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? Yes No (Circle One)
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? Yes No (Circle One)
If you were to move out of state, would you contact FFFS as a courtesy? Yes No (Circle One)
Under what circumstances would you not be able to keep the bird?

Divorce/Separation New Baby New Job Allergies
New Relationship Illness Preferring one person over another
Other __________________________________________________________________
Why do you feel you are qualified to adopt a bird?_______________________________

Would you permit inspection of your home prior to an adoption? Yes No (Circle One)
Would you allow a post adoption visit to your home by a FFFS volunteer? Yes No (Circle One)
How would you quarantine your bird?________________________________________
______________________________________________________________________
______________________________________________________________________
Describe signs of illness in a bird ___________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Certain materials used as a cage liner could kill a bird. List safe cage liners_________ _______________________________________________________________________
_______________________________________________________________________
Can you describe some of the dangers that a bird might be exposed to in any household?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Vitamin deficiencies can be hazardous to your bird's health. It is important to provide your bird with a wide variety of foods. What foods would you feed to an exotic bird?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
What are some of the foods toxic to birds?____________________________________
______________________________________________________________________
______________________________________________________________________
Where will the bird's cage be located? _______________________________________
______________________________________________________________________
How is the proper cage size determined for each bird? __________________________
______________________________________________________________________
What materials are safe for perches? ________________________________________
_____________________________________________________________________
Why is it necessary to have different diameter perches? __________________________
______________________________________________________________________
______________________________________________________________________
List some toxic household cleaners and plants ________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

FFFS reminds you that in the event you cannot keep your bird, you must call us. Please alert us if you feel you cannot keep this bird. We have made a commitment with the donor, which must be honored at all times.

Adoptor's signature _______________________________ Date ____________

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©2006 Fine Feathered Friends Sanctuary, Inc.