Applicant: __________________________________________________
Address: ___________________________________________________
City/State:_______________________ Zip: ________________________
Home Phone: _________________________ Cell Phone: _____________________
Email: ______________________________________________________________
Type of residence __ apt. ___ house ___ condo ___ other.. Please specify_______________________________________________________________
Number or residents in household (Please include pets), type and age: _____________
_____________________________________________________________________
_____________________________________________________________________
Vet: _______________________________________________________________
Number : ___________________________________________________________
Who will be the main caretaker, owner and handler of this bird is:
___ Male, age ____
___ Female age____
I work ____ At home _____ 20 -30 hrs/wk _______ 30 - 40 hrs/wk _____40hrs+
I am looking for a bird with this type of personality: (Please check all that apply)
__ Cuddly __ Exotic Looks __ Looks don’t matter to me
__ Playful __ Talkative __ Mr./ms Personality
__ Companion __ Just like to look at
__ Active __ Quiet __ Sensitive
__ Shy __ Occasionally Playfully Bratty
__ Attentive
I am particularly interested in this species of bird: (Please list as many as you wish), species adoption is up to the rescue and is secondary to personality.
_______________________________________________________________________
_______________________________________________________________________
Please Initial what applies to you:
_______ I understand that I will be required, if approved for adoption, to supply the bird
that I am adopting with at least 10 toys at ALL times in it’s cage. That I am to
keep the bird in the cage supplied UNLESS I am moving the bird into a BIGGER
cage. When a surprise visit is done within 2 years of adopting the bird that this is
not the case I shall relinquish the bird and all it’s paraphernalia back to Stephanie’s
Feathered Family Exotic Bird Rescue.
_______ I understand that the species of bird may not match what I have in mind but that
Feathered Family will do their best to provide what I’m looking for, personality
FIRST to insure longevity of my relationship with my bird.
_______ I agree to provide a PERMANENT HOME with proper animal husbandry, fresh
food and water daily, designated outside of cage time and routine cage cleaning
based on the type and needs of the species adopted. I will make sure to put my
bird in a living will and agree to never sell or give away my bird without first
contacting Stehanie’s Feathered Family Exotic Bird Rescue and notifying them of
the need for re-homing my bird.
_______ I agree to provide proper housing, perches, toys and bowls that will be
immediately available upon arrival of bird at Adopters home to Feathered Family
Exotic Bird Rescue’s contentment. Most birds come w/cages, so you shall be
notified if that occurs.
.
______ I understand that I shall be given the option to refuse the bird I’m offered without
recourse.
Please write a summary on the back of this application of any bird experience you have had, include species, dates and if the bird is no longer with you please tell us why. If you have no experience with birds please state that. Lack of experience does not mean you will not be able to adopt.
Most adoption processes take at least two visits to the rescue to meet the bird. We prefer to allow our birds choose their new owners whenever possible. We try to introduce you to birds that match your personality preferences. Knowledge tests take a total of 3 hours and that includes going over the test w/the trainer. The tests are not pass or fail tests, they just tell us what you need to know then we teach it to you.
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Applicant Signature / Date
________________________________________________________________________
Office Use Only
Home Visit #1 _______________________________________ Date: _______________
Done by: ________________________________________________________________
Approved: ______________________________________________________________
Declined: ________________________ Reason: _______________________________
No reason needs to be identified to prevent adoption however this does not mean that you will be denied on a whim.