1. Species of bird for adoption:__________________________________________
2. What is the birds name:______________________________________________
3. How long has the bird been in your possession:_________________________
4. Why are you placing this bird:________________________________________
__________________________________________________________________
5. How many homes has the bird had and why:____________________________
__________________________________________________________________
6. Approximate age of the bird:__________________________________________
7. Sex (if known)______ Was it DNA or endoscpically sexed:_________________
If so, is there a certificate available_____________________________________
8. Are there other birds or animals in the home:____________________________
If so, please list:____________________________________________________
__________________________________________________________________
9. Does the bird have any specific requirements:___________________________
__________________________________________________________________
10. Is cage, perch, toys or food included ( list )______________________________
_________________________________________________________________
11. Does the bird have any specific food preferences:_______________________
_________________________________________________________________
12. Does the bird prefer or dislike men or women:__________________________
13. Does the bird like children:__________________________________________
14. Would you like to be on our mailing list:_______________________________
15. Does the bird scream:________ If so, at what intervals:___________________
16. Does the bird bite:_______If so, how often or when:______________________
17. Who is the birds avian vet:___________________________________________
18. Is the bird on any medications:_______________________________________
19. Has the bird had any diseases or medical problems:_____________________
20. Has the bird had any vaccinations:____________________________________
21: Does the cage require covering:______________________________________
22. What is the bird's bedtime:___________________________________________
23. Has the bird been a pet or used as a breeder:____________________________
Has the bird ever been bred:__________________________________________
24. Is the bird banded:_____________________Microchipped:________________
25. Is there anything else about the bird you would like the new owner to know
( likes, dislikes, personality, traits, etc. )________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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Donor/Co-Owners Signature:____________________________________________
____________________________________________
Date:____________________
Address:_____________________________________________________________
Home Phone:_______________________Work Phone_______________________
Your email address:___________________________________________________
