Bird Adoption Application

Bird Adoption Application

You must be at least 18 years old to adopt!
Thank you for your interest in adopting a bird. There are many birds who are in need of a new home, through no fault of their own, and we appreciate your desire to provide a loving home to one of these birds. We are committed to finding the right home for every bird, and to providing you with support and information to create the best match possible. This is why we ask you to provide this information.
What bird(s) are you interested in adopting?
Birds Name
What type of bird are you interested in adopting?*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Mobile)*

Area CodePhone Number
E-mail*
example@example.com
Do you own or rent?*

OwnRentOther
If you rent, did you check with your landlord to make sure that you are permitted to adopt this pet?

YesNoI need to do that
Do all of the adults in your home know that you are applying to adopt a bird?

YesNo
Are there any children in the home? (If yes, please list ages)
How many hours of the day will the bird be alone?*
How many hours a day will you let the bird out of the cage and play/interact with him/her?*
Birds may develop habits that include destruction of furniture, doors, woodwork, draperies, clothing, biting, screaming for attention, fear of certain family member or strangers, may be messy and fling their food, and that these behaviors require your time, patience and positive reinforcement training
Some birds such as Cockatoos, Macaws and some Conures can make a LOT of noise. Is this something everyone in your household can tolerate?*

YesNo
Many birds are given up each year due to behaviors the owner cannot cope with. What behaviors would you find impossible to live with? Do you have any questions or concerns, for our Avian Specialist that would prevent you from adopting or keeping this pet?*
Questions & Concerns
If you have to leave town, emergent or planned, do you have a place where your pet can stay?*

YesNoI would like suggestions from the Avian Specialist
Please list all other pets and in the home and what their disposition and behavior is toward birds?
Are you aware of the lifespan, food, lighting requirements and the type of enclosure suitable for this species of bird?*

YesNoI need help from the Avian Specialist
I understand that I will need to provide a suitable cage food and toys for the type of bird I am adopting?*

YesNoBird comes with cage & toysI already have a cage (upload picture)
Please upload pictures of the cage I am providing for this bird for the Avian Specialist.
If the bird outlives you, who will care for it?*
What is your experience with birds, include species and type of interaction.
Do you have a avian veterinarian?*

YesNoI need a suggestion from the Avian Specialist
Are you willing to adopt a bonded pair? (We will not separate bonded pairs)?*

YesNo
Are you looking for a mate and/or companion for a current bird you own?*

YesNo
Are you interested in adopting for breeding purposes?*

YesNo
Have you ever been convicted of an animal related crime, such as animal cruelty, animal theft, or animal abandonment? (If yes please explain in detail) *
Do you plan to keep your bird free flighted or will you clip his/her wings?

clipped wingsfree flightedI need help from the Avian Specialist
I understand that if I am no longer able to keep my adopted bird, I will surrender him/her back to Diane's Pet Rescue*

Yes
I understand that Diane's Pet Rescue does not guarantee the health of this bird.*

Yes
By clicking the submit button, I agree to Diane's Pet Rescue's adoption process. I understand that Diane's will disclose any of the pet's health or behavior issues known before adoption is completed. I understand there is an adoption donation associated with this bird. I understand this donation will ensure the organization is equipped to rescue another bird and therefore, adoption donations and deposits are non refundable. By clicking the submit button, I agree to indemnify and hold harmless Diane's against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet.
Should be Empty: