Adopt a Bird - Pet Allies in Showlow Arizona and the White Mountains

Pet Allies offers Spay/NeuterServices, Foster Care and Adoption Services to needy pets,

located in the White Mountains of Arizona

PET ALLIES BIRD ADOPTION APPLICATION

Click here for the PDF version of the Bird Adoption Contract

Bird care is a serious responsibility. PET ALLIES' policy is to insure that each person adopting a bird can provide suitable housing, is morally and financially capable of providing for the bird, and is educated in proper care and nutrition for the bird. You must be at least 18 years of age to adopt a bird from PET ALLIES. This application is designed to provide PET ALLIES with necessary information to begin an adoption placement. Please answer all questions and return to the above address. A representative of PET ALLIES will contact you and a home visit may be scheduled. If any questions are left unanswered, your application will not be processed.

Enter the sum of the numbers that you see above.

Household Information
Your Name:
Your Age	18–25 26–45 46–65 66+
Partner's Name:
Partner's Age	18–25 26–45 46–65 66+
Do you have children living (full- or part-time) in your home?	Yes No
If yes, please list names and ages below:
Child 1 Name:
Child 1 Age:
Child 2 Name:
Child 2 Age:
Child 3 Name:
Child 3 Age:
Child 4 Name:
Child 4 Age:
Home Address:
City:
State:
Zip Code:
Home Phone:
Home Fax:
Your Email:
Partner's Email:
Your Employer:
Your Occupation:
Years Employed there:
Your Work Hours:
Your Work Address:
City:
State:
Zip Code:
Your Work Phone:
Your Work Fax:
Partner's Employer:
Partner's Occupation:
Years Employed there:
Partner's Work Hours:
Partner's Work Address:
City:
State:
Zip Code:
Partner's Work Phone:
Partner's Work Fax:
Who will be the primary caregiver(s) for this bird?
Are all parties in the household aware that this adoption application is being made?	Yes No
What type is your residence?	House Condominium Apartment Other
If Other Please specify:
Do you rent or own your home?	Rent Own
If renting, does your landlord allow pets?	Yes No
Landlord’s Name:
Phone:
Does anyone in your household have a health condition(s) that could restrict his/her ability to handle/care for a bird?	Yes No
If yes, please describe:
Does anyone in your home have allergies?	Yes No
If yes, please list:
Does anyone in your home smoke?	Yes No
Do you currently have other birds living in your home?	Yes No
If yes, please list species and how many:
Species 1:
How Many?
Species 2:
How Many?
Species 3:
How Many?
Species 4:
How Many?
Have you previously owned birds that you no longer own?	Yes No
If yes, why do you no longer have these birds? What happened to them?
Do you currently have any other pets living in your home?	Yes No
If yes, please list species and how many:
Species 1:
How Many?
Species 2:
How Many?
Species 3:
How Many?
Species 4:
How Many?
Describe your daily routine at home:
Does the routine differ on weekends?	Yes No
If yes, how?
Do you currently have an avian veterinarian?	Yes No
If yes, please provide contact information:
Avian Vet’s Name:
Clinic Name:
Clinic Address:
City:
State:
Zip Code:
Clinic Phone:
Clinic Fax:
If no, do you need a list of avian veterinarians in your area?	Yes No
Do you need instruction and/or information regarding proper bird care and quarantine protocol?	Yes No

Anticipated Household Changes
Do you or your partner plan to make a significant change in employment or occupation in the future?	Yes No
If yes, please explain:
If you do not have children now, do you plan to do so in the future?	Yes No
If your primary or family relationship(s) were to change significantly, would you be able to keep your commitment to a bird?	Yes No
Why or why not?
If your living and/or financial situation were to change dramatically, would you be able to keep a bird?	Yes No
Please describe the lifestyle changes you might anticipate over the next 5 years? 10 years? 25 years?
When you travel or go on an extended vacation, who will care for your bird?
What provisions have you made for your birds and/or other pets in the event of your illness or death?

Bird Interests & Experience
How did you learn about PET ALLIES?
What experience do you have with captive birds?
What resources have you consulted on the proper care of captive birds?
What is the most important characteristic you are looking for in a bird?
What species of bird are you interested in adopting?
Why this species?
What resources have you consulted on this particular species?
What are some traits/needs particular to this species?
Explain proper care and nutrition for this species
Explain proper housing for this species
Are you interested in adopting for breeding purposes?	Yes No
List other bird species you currently breed
If your adopted bird developed a behavioral problem, how would you deal with the problem?

References
Please provide contact information for at least two people, other than relatives, who have known you well for five or more years:
Reference 1 Name
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Reference 2 Name
Address:
City:
State:
Zip Code:
Phone:
E-Mail:
I understand this bird must remain in my home. If my circumstances change, I understand I must contact PET ALLIES. I will forward any changes to my address(es) and/or phone number(s) to PET ALLIES.
I also agree to a home visit prior to approval, and I understand that a PET ALLIES representative may make periodic visits to my home. I also understand that PET ALLIES may contact my references prior to approval of this application.
I Agree	I Disagree

Pet Allies offers Spay/NeuterServices, Foster Care and Adoption Services to needy pets,

located in the White Mountains of Arizona

PET ALLIES BIRD ADOPTION APPLICATION

Household Information

Anticipated Household Changes

Bird Interests & Experience

References