ADOPTION APPLICATION NAME:_____________________________________________________ SPOUSE/SIGNIFICANT OTHER:________________________________ IS THIS PERSON AWARE OF THE TENTATIVE ADOPTION?________ CHILDREN? IF SO, WHAT ARE THE AGES_______________________ ADDRESS:_________________________________________________ PHONE:____________________________BEST TIME TO CALL_______ OCCUPATION:___________________SPOUSE OCCUPATION:___________________________ IF PRESENT RELATIONSHIP WERE TO CHANGE, WHO WOULD KEEP BIRD_____________________________ DO ALL MEMBERS IN YOUR HOUSEHOLD KNOW YOU ARE PLANNING TO ADOPT A PARROT?____________ WHO WILL BE THE BIRD'S PRIMARY CARETAKER?__________________________ HOW MANY HOURS DAILY WOULD THE BIRD BE LEFT ALONE?________________________ TYPE OF DWELLING: HOUSE_______CONDO_______APARTMENT_________OTHER________ DO YOU RENT_________OWN_________ IF RENTING, DO YOU HAVE PERMISSION FROM THE LANDLORD TO OWN A BIRD?__________ DOES ANYONE IN YOUR HOME SMOKE?_________ DO YOU OWN ANY OTHER BIRDS OR PETS?_______ IF YES, WHAT ARE THEY AND HOW MANY ARE THERE? ______________________________________________________ WHAT TYPE OF PARROT WOULD YOU LIKE TO ADOPT?________________________________ WHAT EXPERIENCE HAVE YOU HAD WITH PARROTS_________________________________________________ WILLYOU ACCEPT A BIRD WITH BEHAVIORAL PROBLEMS?____________________ WILL YOU ACCEPT A BIRD WITH A HANDICAP?_______________________ IF YOU TRAVEL, WHO WOULD TAKE CARE OF THE BIRD WHILE YOU ARE AWAY________________________ DO YOU HAVE AN AVIAN VET?_______________________ DO WE HAVE PERMISSION TO CONTACT YOUR VET FOR REFERENCES?_____________ IF YES, PLEASE ENTER NAME AND PHONE NUMBER_________________________________________________ ARE YOU AWARE THAT HOOKBILLS HAVE A NORMAL URGE TO CHEW WOOD, BUTTONS, JEWELRY, FURNITURE, MOLDING AND ANY OTHER THING THAT MAY GET IN THE WAY OF THEIR POTENTIALLY DESTRUCTIVE BEAKS?_______________________ IT IS SELDOM THAT A PARROT IS TURNED IN TO A SHELTER THAT IS PERFECT IN EVERY WAY. MOST HAVE ISSUES THAT THE OWNERS ARE UNABLE TO RESOLVE. THE AVERAGE AGE OF A BIRD BEING SURRENDERED IS IN ITS TEENS. AS THEY CAN LIVE A VERY LONG LIFE; WHICH IS ABOUT THE SAME AS A HUMAN. COMPARED TO MOST PETS, BIRD CAN HAVE SEVERAL HOMES BEFORE IT BECOMES OLD. YOUNG HAND FED BIRDS DO NOT COME HERE FIRST. ALL PARROTS HAVE THE CAPABILITY OF TALKING, BUT NOT ALL WILL TALK. SOME BIRDS WILL SCREAM IN LOUD PITCHES, CONTINOUSLY. THEY MAY JUST NEED ATTENTION, FOOD OR LOVE. THEY MAY ALSO HAVE BEHAVIORAL HABITS THAT COULD BE HARD TO BREAK. PARROTS CAN REQUIRE A LOT OF ATTENTION AND MAINTENANCE. MEDICAL ATTENTION AND PROPERLY FEEDING THE BIRD CAN BE EXPENSIVE. HAVE YOU CONSIDERED THIS?_______ WOULD YOU PERMIT INSPECTION OF YOUR HOME PRIOR TO AN ADOPTION?_________ WOULD YOU ALLOW A POST ADOPTION VISIT TO YOUR HOME?_________ I REMIND YOU THAT IN THE EVENT YOU CANNOT KEEP YOUR BIRD, YOU MUST RETURN IT TO THE SHELTER WHERE THE ADOPTION TOOK PLACE. WE HAVE MADE A COMMITMENT WITH THE DONOR, WHICH MUST BE HONORED. SIGNATURE_________________________________________________DATE_________________________________ Please mail to Seymour Bird Refuge 204 Gray Road, West Cumberland, ME 04021 Phone: (207) 829-5040