First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone*
Alt Email
Text/Pager Email
How did you hear about us?
If there's a specific bird you are interested in, what is the name of the bird? Choose an animal: VARIOUS PARROTS
Do you rent or own?*
If renting, does the landlord allow pets?
List family members and their ages*
How do the other family members feel about living with a parrot?*
Are there smokers in the household?*
Does anyone have allergies?*
Name and age of parrot’s primary caretaker*
List all other pets (dogs, cats, birds, exotics or other animals) in your home*
Type of parrot (parakeets, cockatiels and lovebirds are also parrots) that most interests you and why?*
Have you ever owned or cared for any parrots previously (not already mentioned)? How many? What species?*
If you no longer have the birds, why?
Are you willing to take a bird with behavioral problems?
Are you willing to accept a handicapped bird?
How many hours a day would the parrot be left alone?
How many hours a day would the parrot be caged?
Do you already have an avian vet?
Please provide their name and phone number
If you have other parrots, do you understand the quarantine process and does your household accommodate separation of birds?
What type of diet would you feed your parrot?
Describe the location of the parrot’s cage: * What room will it be in? * Where in the room will the cage be placed? * What will the cage contain (perches, toys)? * What other parrots will be in the same room?
Describe how much mobility the parrot will have. * Will it leave its cage? * Go to other rooms? * Eat with the family? * Have a play gym?
Are you willing to purchase an appropriate cage if necessary?
Can you give examples of the special needs of parrots regarding food, toys, exercise, social activity, etc?
Are you a member of a parrot club or organization? If so, which ones?
Are you open to further parrot education?
Parrots require a lot of attention and maintenance. Medical attention and proper diet can be expensive. Are you aware of how much money annually you may spend for the proper care, feeding, vet bills, etc?
What do you expect from a companion parrot?
Are you aware that this parrot may live longer than you? Do you have a contingency plan in place to care for the parrot if you are no longer able to? Please explain.
Do you intend to breed this parrot?
Include any other information you consider important for us to know, so that we can work together to help each parrot find the best new home:
