Adoption Aplication – Parrots Haven Rescue

First Name *

Last name *

Address 1 *

Address 2

City *

State *

Zip code *

Email *

Home Phone or Cell *

Work Phone

What species of parrot are you seeking to adopt? *

Why this species? *

Would you be interested in a Special Needs Bird? *

Yes No

Household Information

How many adults over 18 living in your household? *

Adult ages *

Please write the ages separated by a comma.

How many children under 18 are living in your household? *

Children ages *

Please write the ages separated by a comma.

Do you have any other pets? *

Yes

Is each member of your household aware that you are filling out this application? *

Yes

Employment Information

Are you currently employed? *

Yes

Residence

Do you own/rent the property? *

Own Rent

Years in this residence. *

Type of property:

Help us understand who you are.

Have you previously owned a parrot? *

Yes No

Why you've chosen to adopt a parrot? *

Please explain any experience you've had with companion parrots. *

How did you hear of Parrots Haven Rescue and Sanctuary, Inc? *

About the parrot care

Do you currently have an avian veterinarian? *

Yes No

Who will care for your bird when you travel? *

What area of your home will your bird be placed? *

How important is a bird’s speaking ability to you? *

How much are you able and willing to spend on vet care for the bird?

Parrots are a messy pet. How much mess can you handle? *

Some parrots are quite noisy. How much noise can you handle? *

What’s the longest amount of time your house is unoccupied during an average day? *

Select the one that fits best with your lifestyle.

Have you ever had to give one of your pets away or surrender to animal shelter/rescue? *

Yes No

Personal References.
Please provide us contact information for 2 personal references of people who have known you at least 5 years and 1 veterinary reference.

Personal reference 1

Reference 1 name *

Reference 1 address *

Reference 1 phone *

Reference 1 Relationship: *

Reference 1 years known *

Personal reference 2

Reference 2 name *

Reference 2 address *

Reference 2 phone *

Reference 2 Relationship: *

Reference 2 years known *

Veterinary reference

Veterinary reference name *

Veterinary reference address *

Veterinary reference phone *

Veterinary reference years known *

Once the adoption is finalized, I understand that I will be responsible for all costs associated with my new bird, which includes a balanced healthy diet that includes fresh vegetables (chop), toys and medical expenses.
I understand a quarantine period and a full veterinary exam is recommended. Wellness exams will be conducted yearly.
Although uncommon, I am aware there are zoonotic diseases that may be transferred from an adopted animal to me and existing pets.
If my bird is within flying distance to the front door, kitchen, or any other dangers, I will have my bird’s wings properly clipped for safety.
I will not use sand perches and will have my bird groomed as needed.
I will not take a bird outside without either a flight harness or inside a travel carrier.
My bird will be housed in a smoke-free environment: no cigarettes, incense, and candles.
I will not use unsafe products such as non-stick cookware (Teflon/PTFE), Febreze, Glade plug-ins and similars, or anything else toxic.
I will not feed my bird onions, garlic, comfrey, peanuts, mushrooms, dairy, avocado, grits, coffee, salty, high fat, or processed foods, alcohol, apple seeds, and pits from cherries, plums, apricots, and peaches.
I will not fall asleep with my bird on the bed because this can prove fatal to the bird.
I will feed an adequate diet which will include safe organic fresh foods (chop) and good quality pellets.
I understand the responsibility involved in adopting new animals and I agree to commit to their proper care for the duration of their lifespan.
My application may be denied or revoked if I provide false information.
If I am not adequately caring for my adopted bird, Parrots Haven Rescue and Sanctuary, Inc reserves the right to take them back at any time.
The bird will stay inside the house when the adopter is not home unless otherwise specified and approved by an Adoption Specialist.
I agree that this bird will not be used for medical or any other experimental or cruel purpose.
Adopted birds are not to be sold, bred, given away, given as gifts, used to decorate a house, or disposed of.
By completing this form, I agree to treat my bird humanely at all times and will make sure that anyone else caring for them, living or visiting the household will do the same.

I accept the

I have read the Privacy Policy and Terms and Conditions of parrotshavenrescue.org

Terms and Conditions *

By submitting this application you agree with the Privacy Policy and Terms and Conditions of parrotshavenrescue.org. You agree the bird must remain in your custody. If your circumstances change and you are no longer able to care for this bird, that it must be returned to Parrots Haven Rescue and Sanctuary. No refunds of adoption fees will be given. You must provide Parrots Haven Rescue and Sanctuary with any change of address and/or phone number. You agree that Parrots Haven and Sanctuary will check references, verify employment and housing prior to the adoption process. You also agree to allow a representative of Parrots Haven Rescue and Sanctuary into your home to check on the adopted bird. You understand that if at any time this bird is found to be given improper care, that this bird will be removed from the home by the representative performing the home visit.