Adoption Qualification Form 18+
We are located in Arizona. In person visits are mandatory. We never ship any of our birds. If You live out of state, You can either make it a road trip or fly through Delta Airlines.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Which Parrot do YOU like?
*
Where would they live?
*
Describe the Setting
Are there any other birds in YOUR home?
*
What kind of cage do YOU have or do YOU Require one?
*
Tell us about Yourself and Your Experience
*
What do YOU do for work and how much time do YOU spend at home?
*
Would YOU like to donate for food and medical costs?
*
Yes
No
Waiver
I understand that although uncommon, parrots can nip, bite and scratch. I hear my relinquish Valleywide Parrot Rescue from any liability from all possible damages and losses to me and my Party.
Submit
Should be Empty: