Bird Adoptions Application

Thank you for your interest in adopting a parrot from Miami Valley Bird Club and Rescue. Completion of this Bird Adoption Application and submitting it to us is the first in several steps to adopting a bird from us. The information you provide here will be used as a form of pre-screening. This application is in no way a contract between you and Miami Valley Bird Club and Rescue and in no way guarantees you a bird.

Please print and fill this form out completely. Applications that are not complete are not eligible for consideration for adoption. Thank you.

Applicants Name_________________________________________________________

Spouse Name____________________________________________________________

Address_________________________________________________________________

City, State, and Zip________________________________________________________

Home Phone _____________________Work Phone_____________________________

Email Address_____________________________

Children: Name and Ages

__________________________________________________________      

__________________________________________________________        

Primary Employment______________________________________________________

Place of Employment______________________________________________________

Address_________________________________________________________________

City, State and Zip________________________________________________________

Years Employeed_________________________________________________________

Are you required to travel for work?   Y / N

Who cares for your pets while you are on vacation?

_______________________________________________________________________

If not currently employed, please list means of supporting yourself and the bird you wish to

adopt. _________________________________________________________________

Your Age:  18-25  26-45  46-65  Over 65

Are all parties in the house aware that this application is being made?  Yes  No

Do you presently own birds?  Yes  No

If yes please list: including species, name and how long you have owned them below

__________________________________________________________________________

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If no to the above question, have you ever owned a bird?  Yes  No

If yes to the above question, is this bird listed above?  Yes  No

Why did you part with the bird(s)?

________________________________________________________________________

________________________________________________________________________

Type of Housing:  House  Condo  Apt  Rent  Own  Other, Please Explain

________________________________________________________________________

If renting, does your landlord allow pets in the property?  Yes  No

May we verify this?  Yes  No

Landlord’s name__________________________________________________________

Phone __________________________________________________________________

Does anyone in your home smoke?  Yes  No

Where in your home would you keep this bird?

________________________________________________________________________

________________________________________________________________________

Do you own other pets?  Yes  No If yes, please list below

__________________________________________________________________________

__________________________________________________________________________

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What species of bird are you interested in adopting?__________________________________________________________________________

Why this species? _________________________________________________________

Explain proper care and nutrition for this species:

________________________________________________________________________

________________________________________________________________________

Explain proper training for this species: 

________________________________________________________________________

Would anyone in your family accept this bird if you were no longer able to care for it?     

Yes  No  Don’t Know

Do you own reliable transportation?  Yes  No

Your Veterinarian _________________________________________________________

Phone___________________________________________________________________

Is this an Avian Veterinarian?  Yes  No  Don’t know

 

References:

Please provide three references not related to you, and how long known:

 

1._____________________________________Phone____________________________

2._____________________________________Phone____________________________

3._____________________________________Phone____________________________

What characteristics are you looking for in a companion bird?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Under what circumstances would you NOT want to keep your bird?

________________________________________________________________________

________________________________________________________________________

Does anyone in your home have allergies?  Yes  No If yes, please explain:

________________________________________________________________________

________________________________________________________________________

IF you were to adopt a bird and it developed a bad habit, what would you do?

________________________________________________________________________

________________________________________________________________________

As you consider adopting an exotic bird, you need to know the following facts.  Parrots are messy, noisy, demanding, and destructive.  They require a large living space, a special diet, daily entertainment, and periodic veterinary visits.  They may bite, scream, and sometimes even develop an intense dislike for some people.  Keep in mind that owning an exotic bird is challenging as well as rewarding!

Exotic birds have a long life expectancy.  Some rescues come from less than ideal situations. Some of these behaviors might not show up immediately, but might on down the road.  If you ever need help redirecting a bird’s behavior, we are happy to help. Some birds may not change to suit your lifestyle.

MVBCR is committed to all rescued birds that we place and we will accept a bird back at any time.

Thank you for taking the steps necessary to give a bird a wonderful home.

 

Comments:_____________________________________________________________

________________________________________________________________________

Please mail this completed application to:

Miami Valley Bird Club and Rescue

P.O. Box 242

Casstown, Ohio 45312

Contact info:  mvbcr@frontier.com

(937) 440-0016