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adoption application
All fields are required.
If a field isn't applicable, please enter N/A.
Date*
Name*
Date of birth*
Address*
Email*
Home phone*
Work phone*
How many people are living in your household? *
Please list the ages of all members living in your home*
Do you have other pets?*
Yes
No
If yes, please list the type and how many of each*
Is each member of your household aware that you are filling out this application?*
Current employer*
Supervisor's contact information*
How long have you been with this employer?*
How many hours a week do you work?*
Do you own or rent your current residence?*
Own
Rent
How long have you lived at current residence?*
If you rent, are pets allowed?*
Yes
No
Landlord's name*
Address*
Landlord's phone and fax*
Do you live in*
Apartment
House
Condominium
Do you currently own a companion parrot?*
Yes
No
If so, what species is it and how long have you had it?*
Have you previously owned a parrot? *
Yes
No
Please explain why you no longer have this bird*
Please explain any experience you have had with companion parrots *
Why have you chosen to adopt a parrot?*
How did you hear of Parrots Haven Rescue and Sanctuary, Inc? *
Do you currently have an avian veterinarian? *
Yes
No
Clinic Name: Vet’s Name: *
If you do not currently have an avian vet would you like us to recommend a qualified avian vet in your area? *
Yes
No
Who will care for your bird when you travel? *
Would you be interested in a Special Needs Bird? *
Yes
No
Where will your bird stay in the event of a hurricane or any other disaster or emergency?*
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? *
How much mess can you handle? *
How much noise can you handle? *
What’s the longest amount of time your house is unoccupied during an average day? *
Before you click the submit button, please click on the link below to read our terms of agreement
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I have read and agree to the Terms of Agreement
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Terms of Agreement
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