Our Adoption Process...
PARROT OUTREACH SOCIETY
Exotic bird ownership is a serious responsibility and the adoption of an unwanted or rescued bird can introduce a myriad of additional factors which need to be considered. The Parrot Outreach Society wants to be certain you understand what you’re in for before you make the decision to adopt a bird. We also want to be certain we know enough about you to feel confident we’re placing the bird into a satisfactory environment. Thank you for your interest in adopting a bird from us!
City, State, Zip: ___________________________________________________¬¬¬¬¬¬¬
Home Phone: ________________________ Work: _______________________
Cell: ________________________________ Fax: ________________________
Please answer all 48 of the questions below and use additional sheets or the back of this form if you need more space. Please write “N/A” if a question isn’t applicable to you or your situation. All questions must be answered for the application to be processed.
1) Do you subscribe to any avian related publications? [ ] Yes [ ] No
If yes, which one(s)? _____________________________________________
2) Your occupation: ________________________________________________
3) Spouse/SIG’s occupation: _________________________________________
4) Do all adults in your household know you plan to adopt a bird? [ ] Yes [ ] No
5) Are there any children in the household? [ ] Yes [ ] No
If yes, list gender and ages: __________________________________
If no, are you planning to have children? [ ] Yes [ ] No
6) Does anyone in the household object to adopting a bird? [ ] Yes [ ] No
7) Are there any other pets (not birds) in the household? [ ] Yes [ ] No
If yes, list quantity, species, and ages: _________________________
8) Are you planning to purchase or adopt any other pets? [ ] Yes [ ] No
If yes, what species? _____________________________________________
9) Type of home: [ ] House [ ] Apartment [ ] Condo [ ] Other:_________
13) Do you own or rent your home? [ ] Own [ ] Rent
10) Do you have your landlord’s, homeowners, or condo association’s written permission to keep exotic birds? [ ] Yes [ ] No [ ] N/A
11) If you or someone else in the household is a smoker, will be you able to provide a smoke-free environment for the bird? [ ] Yes [ ] No [ ] N/A (no smokers in the household) If yes, how? ___________________ _______________________________________________________________
12) Does anyone in the household have asthma or allergies, COPD, emphysema [ ] Yes [ ] No
13) Do you or anyone else in the household have previous experience with exotic birds? [ ] Yes [ ] No If yes, who and how many years with which species? _______________________________________________________________
14) Are there any pet birds already in the household? [ ] Yes [ ] No
If yes, please list quantity, species, and how long you’ve had them: ________ __________________________________________________________________________________________________________________________________
15) Have you owned pets (birds or others) in the past that you no longer have?
[ ] Yes [ ] No If yes, please list (on the back of this form or on a separate piece of paper) what species, how long you had them, and why they’re no longer with you (if they died, list cause of death).
16) Have you ever bred birds? [ ] Yes [ ] No If yes, what species of birds? _______________________________________________________________
17) Do you currently have or know of an avian vet? [ ] Yes [ ] No
If yes, vet’s name, location, and phone #: ________________________________
18) If you already have birds, have they been vet checked for infectious disease? [ ] Yes [ ] No [ ] N/A If yes, are they all healthy? [ ] Yes [ ] No [ ] N/A
19) If you already have birds, what do you feed your bird(s)? Check all that apply: [ ] Seeds [ ] Pellets [ ] Fresh Vegetables [ ] Fresh Fruits [ ] Pasta [ ] Treat Sticks [ ] N/A [ ] Other:______________________
20) Do you feel qualified to work with special needs birds (i.e. – physical defect or psychological problems)? [ ] Yes [ ] No If yes, explain qualifications: ______________________________________________________________________________________________________________________________
21) What would you do if your bird came to you with or developed bad habits?
22) Do you feel you’re financially able to provide for a bird’s needs in terms of veterinarian costs, food, housing, toys, etc? [ ] Yes [ ] No
23) How much would you budget annually to care for this bird? $______________
24) Are you willing to keep your home at a temperature that suits the needs of your bird whether or not you’re at home? [ ] Yes [ ] No
25) What temperature do you normally keep your home thermostat set to in the Winter? _____ Summer? _____ Fall? _____ Spring? _____
26) Are you aware of the fact that exotic birds can carry diseases which could be transmitted to humans? [ ] Yes [ ] No
27) Do you know that exotic birds are capable of biting, screaming, and destroying property, and that they tend to be very messy in terms of droppings and food splattering? [ ] Yes [ ] No
28) Do you know that exotic birds NEED a lot of attention and care and that behavioral modification can take years of patience to achieve? [ ] Yes [ ] No
29) Are you prepared to put in the effort to keep the cage clean, the food and water fresh, and to work with the bird consistently and patiently on a daily basis to build a relationship of trust and companionship? [ ] Yes [ ] No
30) What species are you interested in adopting? __________________________
________________________ Why? ___________________________________
31) Why are you interested in adopting rather than purchasing a companion bird? ______________________________________________________________
32) Under what circumstances would you not be able to keep the bird? [ ] Moving [ ] new job [ ] new baby [ ] divorce, separation [ ] allergy [ ] other pets [ ] other______________________________________________________
33) Have you done any prior research on exotic bird species, care, and behavior? [ ] Yes [ ] No If yes, explain: _____________________________________
If no, are you willing to do the research prior to the adoption? [ ] Yes [ ] No
34) Do you need education in proper avian care? [ ] Yes [ ] No
If no, what resources are available to you? ____________________________
35) Do you have a suitable cage available for the new bird? [ ] Yes [ ] No
40) Where do you plan to locate the bird’s cage? __________________________
36) If you already have birds, do you have a quarantine area available for the bird? [ ] Yes [ ] No [ ] N/A If yes, where? _______________________________
37) Who will be the primary caregiver for the bird? _________________________
38) How much time will you or the primary caregiver have available to spend with the bird on a daily basis? __________________________________________
39) How many hours per weekday will the bird spend alone (without human companionship) in your home? _________ Weekends? ___________
40) How much daily “out of cage” time do you expect to be able to provide for the bird for exercise and interaction? ___________________________________
41) Who would care for your bird(s) if you went on vacation or fell ill? __________
42) Would you object to an inspection of your home, before and after the adoption, by a member of the Parrot Outreach Rescue Team? [ ] Yes [ ] No
43) If yes, are you willing to pay the $10 home visit fee? [ ] Yes [ ] No
49) Do you have any plans to relocate out of the United States or out of the state of Florida? [ ] Yes [ ] No
44) How did you hear about us? _______________________________________
45) What would you expect from a parrot? _______________________________ ______________________________________________________________
46) Do you travel frequently? Yes[ ] No [ ]
If there is anything else you would like to say regarding your desire or qualifications to adopt a bird, please write about it on the back of this form or on a separate sheet of paper.
We do ask a formal adoption donation, which varies according to species and condition, (and is lower than the fees requested in larger cities), to help us offset the costs of helping birds in need. Checks should be made payable to PARROT OUTREACH SOCIETY and the memo should read RESCUE. Donations are non-refundable.
Completion of this application does not guarantee you will qualify to adopt a bird. A criminal background check will be done. Prior to adoption, one or more members of the Parrot Society Rescue Team will visit your home to be sure you will be able to provide a healthy and safe environment for the bird. There is a $10 non-refundable fee for the visit. Anyone attempting to acquire birds for persons having lost pets to Charlotte County Animal Control will be reported to the authorities. An Adoption Contract must be signed prior to the bird leaving our possession.
Applicant’s Signature: ______________________________________________