Feathered Sanctuary Exotic
Bird Rescue

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Adoption Application

Name:__________________________________

Address:________________________________

City: ____________________________________           

State: _____                  Zip:____

Phone:____________________

Email:_____________________________


Names, ages, and relationship of others living in your household

Name:                                         Age:            Relationship:

Name:                                         Age:            Relationship:

Name:                                         Age:            Relationship:


Information about you:

Occupation:_______________________________

Where:___________________________________

How much time do you spend away from home for work per week including travel?                Hours______


Information about your spouse:

Occupation:_______________________________

Where:___________________________________

How much time does your spouse spend away from home for work per week including travel?          Hours_____

Information about where you reside

Information about where you reside

Type of residence:____Single family dwelling____duplex _____condo _____apartment

Do you _____own _____rent.

If you rent, do you have your landlord's permission to have a bird? _____yes _____no

Landlord's name:__________________ Phone:__________

Information about your environment:

Do you smoke? _____ no_____

Does anyone else in your household smoke? ____yes _____no

If yes, where do you smoke?

Do you burn candles? _____yes _____no

Do you use plulg-in fresheners, deodorizers,m incense, potpourri, fabric spray or perfume? _____yes _____no

Do you use ammonia, floor cleaners,m bleach, drain cleaners or oven cleaners? _____yes _____no

If no, what do you use to clean your home?



Do you use nail polish, nail polish remover, hair spray or other aerosols? _____yes _____no

Do you use non-stick cookware or the self-clean function on the oven? _____yes _____no

Since the previous mentioned items are toxic and could prove to be fatal for birds, would you be willing to use alternatives? _____yes _____no


Information about your other pets

Do you currently own other pets? _____yes _____no

If yes,please list (include what type, age)

____________________________________

____________________________________

____________________________________

Have you ever owned a companion bird before? _____yes _____no

How long did you have this bird(s)_____________


Do you know what species you would like to adopt/foster?


Why are you interested in this species?



Do you currently have a companion parrot? _____yes _____no

Do you know that exotic birds can carry diseases that can infect humans? _____yes _____no

Have your birds been checked for infections diseases? _____yes _____no

What do you feed your companion bird?


How often do you clean your bird's cage?


How often to you disinfect their cage?


Do you have a cage for the bird you would like to foster/adopt? _____yes _____no

If yes, what size _____width _____height _____depth

At what date would you be ready to foster/adopt? __________

Things to think about


Are you aware that exotic birds might have or might develop bad habits (biting; screaming; dislike of your mate or strangers; destruction of furniture, clothing, drapery or anything else the bird can get his/her beak on) and those behaviors might be hard to fix? _____yes _____no

Are yo0u aware that exotic birds require a great deal of attention and maintenance? _____yes _____no


Comments:






Your privace is very important to us.  The information you provide is confidential.

Thank you for filling out this application.  You will be contacted upon review by a Feathered Sanctuary Representative.

You may mail this to:

Feathered Sanctuary

1674 Kirkwood Pike

Kirkwood, PA  17538


Or email to:

[email protected]

 

 

 

 

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