First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone*
Alt Email
How did you hear about us?
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?*
List all other pets (dogs, cats, birds, exotics or other animals) in your home*
Name and age of parrot’s primary caretaker*
How many parrots are you able to foster at this time?*
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?
Would you be able to pick up, haul, and set up the foster parrot's cage?
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?
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?
Do you currently foster for another rescue?*
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:
