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Name: ____________________________________________ Age: _____

Signature: ___________________________________________________

Spouse/Significant Other: ______________________________________

Children's Ages: ______________________________________________

Address: ____________________________________________________

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

Best time to call at what number: ________________________________

Occupation: _________________________________________________

Spouse's Occupation: __________________________________________

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

Who will be the bird's primary caretaker? __________________________

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? ______________________________________________

Why: _______________________________________________________

Will you accept a bird with behavioral problems? ___________________

Will you accept a handicapped bird? ______________________________

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.

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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? ___________________

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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? ____________________________

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Describe signs of illness in a bird: ________________________________

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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? _______________________________________________

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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? _________________________________________

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What are some of the foods toxic to birds? _________________________

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Where will the bird's cage be located? _____________________________

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

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What materials are safe for perches? ______________________________

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Why is it necessary to have different diameter perches? _______________

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List some toxic household cleaners and plants ______________________

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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.