Name:_______________________________ Date:_____________________
Number of people in household:___________________________________
Children?:__________ If yes, ages:_________________________________
Street Address:_________________________________________________
City, State, Zip Code:_____________________________________________
Home Phone: ( )______________ Work Phone: ( )_________________
Your email address:_____________________________________________
Best time to call what number:_____________________________________
Occupation:____________________________________________________
Spuse's Occupation:____________________________________________
If present relationship were to change, who would keep the bird?:_______
Do all members of your household know you plan to adopt a bird?:______
Who will be the bird's primary caretaker?:___________________________
How many hours daily would the bird be left alone?:__________________
Type of dwelling: Single House____ Condo____Apartment____Other____
Do you: Rent____ Own____. If you rent, do you have the landlords prmission to have a bird?:______
Does anyone in your house smoke?:_______________________________
Do you own any other birds or pets?:_____ If yes, what are they and how many are there?:________________________________________________
____________________________________________________________________________________________________________________________
What type of bird are you looking to adopt?:_________________________
Will you accept a bird with behavioral problems?:_____________________
Will you accept a handicapped bird?:_______________________________
If you travel, who would take care of the bird while you're away?:________
______________________________________________________________
Do yo have an Avian Vet?:________________________________________
Do we have permissio to contact your vet for refrences?:______________
If yes, enter name & number:______________________________________
How do you plan to train your bird?:________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Many birds have the capability of talking, but not all birds will talk. Some birds will scream in LOUD pitches, continuosly.. They may just need attention, food or love. They may also have behavioral habits that could be hard to break. How would you handle these situations?:____________
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Birds can require a lot of attention and maintenance. Medical attention and properly feeding a bird can be expensive. Have you considered this?:___________________________________
