Quality of Life through Education,
Rescue, Rehabilitation and Adoption
ADOPTION APPLICATION
Name:
____________________________________________ Age: _____
Signature: ___________________________________________________
Spouse/Significant Other: ______________________________________
Is this person aware of the tentative adoption? ______________________
Children's Ages: ______________________________________________
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 parrot?
_________
Who will
be the bird's primary caretaker? __________________________
How long
will the bird be left alone each day? ______________________
Type of Dwelling: House: ____ Condo: ____ Apartment: ____ Other: ___
Do you rent: ___ own: ___? If you rent, do you have the landlord's
permission to own a bird? _______
Does
anyone in your home smoke? _______________________________
Do you
own any other birds or pets? ______ If yes, what are they and how
many are there? ______________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
What type
of parrot would you like to adopt? _______________________
____________________________________________________________
Why:
_______________________________________________________
Will you
accept a bird with behavioral problems? ___________________
Will you
accept a handicapped bird? ______________________________
If you travel, who'd take care of the bird while you're away? ___________
____________________________________________________________
Do you have an Avian Vet? _____________________________________
Do we have permission to contact your vet for references? ____________
If yes:
Name:
______________________________________________________
Address:
____________________________________________________
____________________________________________________________
Phone
Number: (____) (____) (______)
How do
you plan to train your parrot? _____________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
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? __________________________________
If you
were to move out of state, would you contact NCOAR and/or the previous owners as a courtesy?
__________________________________
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: __
Why do you feel you are qualified to adopt a bird? ___________________
____________________________________________________________
Would you permit inspection of your home prior to an adoption? _____
Would you allow a post adoption visit to your home? _______________
How
would you quarantine your bird? ____________________________
___________________________________________________________
Describe signs of illness in a bird: ________________________________
___________________________________________________________
Some
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 ______________________
____________________________________________________________
NCOAR reminds you that in the event you cannot keep your bird, you must call us.
Please alert us if you have found an alternative care situation. We have made a
commitment with the donor, which must be honored at all times.
Parrots can live to be 70 + years.
If you successfully adopt a bird from us or any other organization. You should
consider adding the bird in your will.
Adopter's Signature:
__________________________________________
Date:
___________________________________
Copy and save as a file and past
into an email. Send email to
[email protected]
Or copy and print then send to:
3659
44827
Phone: 419-683-3228