Bird Adoption ApplicationPlease enable JavaScript in your browser to complete this form.Basic Information - Step 1 of 5Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Birth DateNames and ages of any additional people living in the house/Apt: *Names and ages of any other pets living in the house: *NextWhich bird are you interested in adopting? Why are you interested in adopting this bird? *Have you ever owned or have/had experience with a pet bird before?YesNoWhat type of personality traits are you looking for in your new pet? *Active/PlayfulAffectionateTalkativeFlight TrainedRelaxed and Easy goingGood with KidsGood with other birds/petsHand tamedSlightly hand tamedNot hand tamedWho will be primarily responsible for the birds’s care? Are you currently employeed *NoYes, Full TimeYes, Part TimeYes, I work from homeWhat type of residence do you live in? *HouseCondoApartmentOtherPlease Explain "Other" Answer *Do you own or rent your residence? *OwnRentDoes your landlord or rental agreement allow for pets in the house? *YesNoDoes One Love have permission to contact your landlord? *YesNoLandlord Name and Phone Number *Please explain why we cannot contact your landlord? *PreviousNextThis bird’s primary living area(s) will be (check all that apply) *In a cage indoorsin a dedicated room indoorsOne a perch indoorsFreely roaming the homeIn an outdoor AviaryOn a normal day, how many hours will the bird be left alone? *How much out of cage time will the bird have each day? *How will you provide exercise and entertainment for your bird?Where will the bird stay when everyone is gone from the home? Will the bird have any outdoor activity, if so please describe?A home check is required in order to finalize the adoption process. Do you consent to allowing one of our team members to make a quick visit to your home? *YesNoWho will watch your bird when you go out of town? What do you plan to do with your bird if you decide to move? PreviousNextMany species of birds can live 50+ years and a lot can happen in that time (allergies, divorce, pregnancy, death in the family, moving out of country, etc.). Under what circumstances would you not be able to keep this pet? *What would you do with the pet if you determined you were unable to keep him/her? *What other pets have you owned in the last 5 years? What happened to these pets? *How much money are you prepared to spend annually on routine medical care for this bird (check-ups, grooming etc.)?What will you do if your pet becomes sick or injured and requires more costly medical care? Under what circumstances would you be unable to provide medical care for this bird?How do you plan to deal with unwanted behaviors your bird may present such as destructive chewing, excessive vocalization or screaming, aggression, separation anxiety, etc.?Are you aware of the dangers of non-stick cookware and aerosol sprays around birds? YesNoDoes anyone in the home smoke inside of the house? YesNoPreviousNextWhat veterinarian do you plan to use for this pet? What types of bird behaviors do you feel are unacceptable for your home? *Do you plan on using this bird for breeding purposes? *Would you be interested in fostering birds in your home on a temporary basis?YesNoMaybe in the FutureIs there anything else you would like us to know? I agree that all information submitted on this application is true and accurate. I understand that if I adopt an animal from One Love, this form will become part of the adoption record. By submitting this application I consent to receiving emails from One Love Animal Rescue and am aware that I can unsubscribe to these emails at any time. *Today's Date: *NameSubmit
