Form
Adoption Questionnaire! This application is to determine if you qualify to adopt one of Nana & Papa's Nest, Inc. parrots available for adoption. * Applicants must be 18 years or older to be consider. * Must be a Virginia Resident * Must be a US Citizen
Are you a Virginia Resident? If you answer no, stop and do not proceed. At this time we can only adopt to Virginia Residents.
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Yes
No
All applicants must live within 130 miles from Wakefield, VA. Do you live within 130 miles of Wakefield, VA? If you answer no stop and do not proceed. All applicates must live within 130 miles of Wakefield, VA. No exceptions allowed.
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Yes
No
Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a spouse or significant other? If yes please list legal name and email address. (please note: must be 18 years and older)
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Are you and all adult individuals living in the household U.S. Citizens? If you answer no, please stop and do not proceed.
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Yes
No
Do you have children? If you answer yes how old are they?
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Do you own or rent your home?
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Own
Rent
Is your home
Single home
Townhouse
Apartment
Condo
Other
Have you ever applied to adopt a bird or to volunteer with us before? If yes, when?
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Potential adoptees must do ten or more hours of bonding visitation with their chosen bird before bringing it home. Bonding visits are a requirement for adoption. The bonding requirement entails several visits to the rescue on multiple days. Are you willing to make multiple trips to our aviary in Wakefield, VA, for these visits? If you answer No, please stop and do not proceed with the application.
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Yes
No
Age Limit! Are you over 18 years of age? PLEASE NOTE: Minors will need guardian approval. If you answer no, stop and do not proceed.
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Yes
No
All prospective applicants over the age of 18 that reside in the same home must complete a background check before the first meet and greet. The cost is $30 per person and is non-refundable. Do you agree that all parties will submit to a background check? If you answer no, stop and do not proceed with the application.
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Yes
No
Have you or someone in the same household ever been convicted of animal cruelty, neglect, or abandonment? If you answer yes, stop and do not proceed.
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Yes
No
Have you or someone in the same household ever been convicted of domestic assault in the last ten years? If you answer yes, stop, and contact Nana & Papa's Nest, Inc.
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Yes
No
Do you vape, smoke cigarettes, cigars, tobacco, any other substances inside your home? If you answer yes, stop and do not proceed. We do not adopt to individuals who smoke in the home due to the potential of the bird to develop lung disease from second-hand smoke.
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Yes
No
Birds can produce a lot of dust and dander, and some bird foods may contain peanuts. Does anyone in your household have allergies? If yes, explain..
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We require potential adopters to attend three online classes. Do you agree to attend these classes? If you answer no, please stop and do not proceed. Educational classes are a requirement regardless of any prior experience with birds.
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Yes
No
Birds require veterinarian visits. These expensive visits can sometimes cost hundreds or thousands of dollars. Food, toys, and cages can add to additional monthly costs. Can you afford these expenses?
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Yes
No
Have you ever rehomed, surrendered, or sold or given away a pet? If yes, please explain the circumstances.
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What parrot species are you interested in adopting? For example, Macaw, Cockatoo, Cockatiel, Budgie Parakeet, Quaker, Conure, African Grey, or other species
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What characteristics are you looking for in a companion bird?
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Do you have any experience with birds? If yes, please provide details
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If other people live in your home, do they know you are looking to adopt a bird and how do they feel about it?
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Please list all animals living on your property, include species and breeds. (Example: 2 beagles dogs, 3 parakeets, and 1 snake)
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How did you hear about us?
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By signing this document you affirm the above information is true and accurate.
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Submit
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