Adoption Form

Adoption Form

Please make sure to fill in the required fields and submit this form with the correct information. We will contact you by phone number and email your tracking number if you select the hassle free delivery option 🚚 Same day delivery for all orders
Full Name*

First NameLast Name
E-mail (we will send the tracking number here)*
example@example.com
Contact Number (we will send the tracking number here)*
Shipping Address (only for delivery orders)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of bird:*
Gender*

FemaleMale
Age*

Baby (8-12 weeks old)Young (under 1 year old)Adult (1+ years old)Breeder pair
Method of receiving*

Delivery/ShipLocal Pickup (only if within 100 miles)
Do you need a cage? (No extra shipping fee)*

YesNo
Best date of delivery/pickup:*

MonthDayYear
Date
Best time to deliver/pickup*

Hour Minutes

AM/PM Option
Please note, in order to proceed with the adoption, a 33% security deposit ($200) is required to be made to our Cashapp account ($daliahjafari) as linked below or we can not allow the transaction. Please make the $200 security deposit to our Cashapp in order to guarantee a response and your parrot to be secured. I agree I will make the 33% security deposit and have answered every question to the best of my true knowledge. *

Clear
⚠️If you do not make the security deposit, we can not proceed with the adoption process!!!This is to prevent scamming and wasting our time!! This security deposit will hold your bird and gurantees a spot! We offer refunds if you are not satisfied in any way⚠️

https://cash.app/$daliahjafari
Please verify that you are human*
Should be Empty: