North-Central Ohio Avian Rescue,

Quality of Life through Education,

Rescue, Rehabilitation and Adoption

 

ADOPTION APPLICATION

Text Box:  
 
 
 
 

Name: ____________________________________________ Age: _____

Signature: ___________________________________________________

Spouse/Significant Other: ______________________________________

 
Is this person aware of the tentative adoption? ______________________

 
Children's Ages: ______________________________________________

Address: ____________________________________________________


City, State, Zip: ______________________________________________


Phone Home:( ____ ) ( ____ ) ( ______ ) Work ( ____ ) ( ____ ) ( _____ )

Best time to call at what number: ________________________________
 

Occupation: _________________________________________________

Spouse's Occupation: __________________________________________


If present relationship were to change, who would keep the bird? _______


Do all members in your household know you are planning to adopt a parrot? _________

Who will be the bird's primary caretaker? __________________________

 

How long will the bird be left alone each day? ______________________


Type of Dwelling: House: ____ Condo: ____ Apartment: ____ Other: ___

 
Do you rent: ___ own: ___? If you rent, do you have the landlord's

 

permission 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? _______________________

 

____________________________________________________________

 

Why: _______________________________________________________

Will you accept a bird with behavioral problems? ___________________

Will you accept a handicapped bird? ______________________________


If you travel, who'd take care of the bird while you're away? ___________

 

____________________________________________________________

 

Do you have an Avian Vet? _____________________________________


Do we have permission to contact your vet for references? ____________


If yes:

Name: ______________________________________________________

 

Address: ____________________________________________________

 

____________________________________________________________

 

Phone Number: (____) (____) (______)

How do you plan to train your parrot? _____________________________

 

____________________________________________________________

 

____________________________________________________________


____________________________________________________________

Are you aware that hook bills 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?
All parrots have the capability of talking, but not all will talk. Some birds
will scream in loud pitches, continuously. They may just need attention,
food or love. They may also have behavioral habits that could be hard to
break.

 How would you handle these situations? ___________________________

 

_________________________________________________________

____________________________________________________________

 

Parrots can require a lot of attention and maintenance. Medical attention and properly feeding the bird can be expensive.

 

Have you considered this? __________________________________
 

If you were to move out of state, would you contact NCOAR and/or the previous owners as a courtesy? __________________________________

 

Under what circumstances would you not be able to keep the bird?

Divorce/Separation: ____ New Baby: ____ New Job: ____ Allergies: ____

New Relationship: ___ Illness: ___ Preferring one person over another: __


Why do you feel you are qualified to adopt a bird? ___________________

 

____________________________________________________________

Would you permit inspection of your home prior to an adoption? _____

 
Would you allow a post adoption visit to your home? _______________

 

How would you quarantine your bird? ____________________________

 

___________________________________________________________

Describe signs of illness in a bird: ________________________________


___________________________________________________________

 

Some materials used as a cage liner could kill a bird. List safe cage liners:


____________________________________________________________

 

____________________________________________________________


Can you describe some of the dangers that a bird might be exposed to in any household? _______________________________________________

____________________________________________________________

 

Vitamin deficiencies can be hazardous to your bird's health. It is important
to provide your bird with a wide variety of foods. What foods would you feed to an exotic bird? _________________________________________

____________________________________________________________

 

What are some of the foods toxic to birds? _________________________

 

____________________________________________________________
 

Where will the bird's cage be located? _____________________________

 

____________________________________________________________


How is the proper cage size determined for each bird? ________________

 

____________________________________________________________

 

What materials are safe for perches? ______________________________

 

____________________________________________________________

Why is it necessary to have different diameter perches? _______________

 

____________________________________________________________

List some toxic household cleaners and plants ______________________

____________________________________________________________


NCOAR reminds you that in the event you cannot keep your bird, you must call us. Please alert us if you have found an alternative care situation. We have made a commitment with the donor, which must be honored at all times.

Parrots can live to be 70 + years. If you successfully adopt a bird from us or any other organization. You should consider adding the bird in your will. 

 

Adopter's Signature: __________________________________________

Date: ___________________________________

Copy and save as a file and past into an email. Send email to cotsy@columbus.rr.com

Or copy and print then send to:

 

NORTH-CENTRAL OHIO AVIAN RESCUE

3659 St. Rt. 598

Crestline, Ohio

44827

Phone: 419-683-3228