Adoption Application

Thank you for considering the adoption of a rescued parrot!

Bird ownership is a serious responsibility. The policy of Parrot Hope Rescue (PHR) is to assure that each person who adopts a bird is aware of this responsibility and that they are morally, financially and physically capable of accepting it. More so than with most pets, it is very true that not everyone who wishes to own an exotic bird should own an exotic bird.

The following application has been designed to aid both you and our organization in determining whether you, or your family, are the type of owners which we seek to secure for the birds at PHR. Please answer all questions and feel free to explain any answer or add any comments. If a question does not apply, please write “N/A.”

Parrots will NOT be adopted into homes where ANY smoking is done indoors. While second hand smoke is dangerous to all animals and humans, birds have very small and sensitive respiratory systems and can succumb to smoke related illnesses quickly.

To ensure the safety of our staff and parrots, a background check will be completed.

The application will not be processed if any question is left unanswered.

First and Last Name

Address

City

State

Zip Code

Occupation

Home Phone

Work Phone

Cell Phone

eMAIL

Are you at least 21?

Yes No

About your Home:

What are the names and ages of everyone who lives in your home?

Do you own or rent your home?

Own Rent

What kind of dwelling do you live in?

How long have you lived in your home?

Will you be moving soon?

Yes No

If you rent, can you show proof of permission that you can have a parrot in your home?

Yes No N/A

Do all adults in your home know you are considering adopting a parrot?

Yes No

Does anyone in your home have an allergy to animals?

Yes No

If you have children living in your home, have they been around parrots before?

Yes No No Children

Does anyone in your household smoke?

Yes No

Will you be willing to provide your parrot a smoke-free environment?

Yes No N/A

Parrots will not be adopted into homes where smoking is EVER allowed indoors. While second hand smoke is dangerous to all animals and humans, birds have very small and sensitive respiratory systems and can succumb to smoke related illnesses quickly.

How many hours, per day, will the parrot spend alone?

Is this parrot a gift?

Yes No

Will you assume full financial responsibility for this parrot?

Yes No

Will you take your parrot to the avian veterinarian regularly?

Yes No

Do you object to our visiting your home or calling in the future, including post-adoption follow-up visits?

Yes No

Do you travel a great deal?

Yes No

Who will take care of your parrot while you are away for work or on vacation?

If your parrot outlives you, who will take care of your parrot after you pass away?

Pet History:

In the past 10 years, how many pets have you owned in your family?

Describe ALL of the pets you currently own. Include names, ages, types (dog, cat, bird,etc) and breeds

Describe ALL of the pets you've had in the past 10 years who are no longer with you. Please describe what happened to each of these pets:

Have each of your dogs and cats been spayed or neutered?

Yes No N/A

Are each of your dogs and cats current on vaccines?

Yes No N/A

Are your pets current on heartworm prevention?

Yes No N/A

Have you ever bred birds?

Yes No

Do you have or know of an avian veterinarian?

Yes No

Would you like a recommendation for an avian vet?

Yes No

Your Avian Veterinarian's Name:

Your Avian Veterinarian's Phone Number

Your Other Veterinarian's Name (for dogs, cats, etc):

Your Other Veterinarian's Phone Number:

NOTE: We will be conducting a thorough pet history check with your veterinarian, so you must provide a name and number for the vet who has seen your current and/or past pets. If your pet is listed under a different owner name than the one you have provided, or if you have visited multiple vets, please provide that information in the additional comments box at the end of this application.

Parrot History and Interest:

Describe, in detail, what experience you have with companion parrots

What species are you primarily interested in adopting? Why did you choose these species?

Describe, using as much detail as possible, the proper care, nutrition and housing for the species of parrot you are interested in adopting

What do you look for as far as personality and behavior in a companion parrot?

If your adopted bird developed an undesireable behavioral problem, how would you deal with the behavior?

In what circumstances would you want to no longer keep your adopted parrot?

Owner Moves to a New Home Development of an Allergy Owner Has New Relationship Parrot is Too Noisy Parrot Doesn't Like Other Pets Parrot is Too Expensive Parrot is Scared of Strangers Owner Divorce or Separation Owner Becomes Seriously Ill Owner Has New Baby Parrot Prefers One Person Parrot Doesn't Talk Parrot Bites Person Other......

Explain

Are you aware that exotic birds may develop bad habits such as destruction of clothing, furniture, drapery, etc., biting, screaming, dislike of stranger or your mate, and that these habits can be difficult to break; that birds require a great deal of attention and maintenance; that they can be expensive to feed, keep healthy, housed and entertained?

Yes No

Other Information:

How did you hear about Parrot Hope Rescue?

Please provide any additional comments that will help us understand your situation more clearly and help us process your application:

Thank you for taking the time to complete this application. PHR reserves the right to refuse adoption to any applicant. To help cover our cost in caring and vetting birds we do ask for an adoption fee for each bird adopted.

By clicking "Submit Application", I certify that the above information is true and that any false information may result in the nullification of any adoption through PHR.

By completing and submitting this application, you consent to a background check.