If you were to move out of state, would you agree to contact the rescue as a courtesy?:_________________
Under what circumstances would you not be able to keep the bird?: Divorce/Seperation____New Baby____New Job____
Allergies____New Relationship____Illness____Bird preferring one person over another____
Why do you feel you are qualified to adopt a bird?:___________
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Would you permit inspection of your home by a LBH&R representative prior to an adoption?:_____
Would you allow a post adoption visit to your home?:____
How would you quarantine your bird?:____________________
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Please describe signs of illness in a bird:___________________
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Certain materials used as a cage liner could kill a bird. List safe cage liners:___________________________________________
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Can you describe some of the dangers that a bird might be exposed to in any household?:___________________________
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Do you cook with Teflon?:________
Vitamin deficiencies can be hazardous to your birds health. It is important to provide your bird with a wide variety of foods. What foods would you feed an exotic bird?:________________
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Where will the birds cage be located?:_____________________
How is the proper cage size determined for each bird?:_______
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What materials are safe for perches?:______________________
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Why is it neccessaryto have different diameter perches?:_____
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List some toxic household cleaners and plants:_____________
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The Rescue reminds you that, in the event you cannot keep your bird, you must return it to us. If however, you have found an alternative care situation, we will be happy to interview and take an application.
We have made a commitment to the donor which MUST be honored at all times Signature:________________________________Date:___________
Signature:_________________________________Date:________
Adopter
Signature:_________________________________Date:________
Co-Adopter
