| First Name: |
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| Last Name: |
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| Address Street 1: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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| Rent or Own Residence |
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Do you have Landlords permission in writing |
| Do you have a yard?: |
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| Neighbors' Proximity: |
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| Average Seasonal Temperature?: |
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| Do you have an outdoor aviary? Please describe in detail.: |
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| Spouse or partners' name: |
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| If relationship changes who can help with the parrot? |
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| Emergency Contact: |
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| Hours in the Day you can spend with the parrot? |
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| Name of Employer: |
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| Type of Work: |
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| What is your weekly schedule? Please describe in detail.: |
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| Number of Hours Parrot will be alone: |
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| How often are you away from home: |
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| Number of Children and ages: |
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| Number of animals in the home and type: |
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| Does anyone in the home smoke: |
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| Have you ever cared for a parrot before? If so what kind: |
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| What kind of food would you feed a parrot: |
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| Please describe any prior experience you have had with a parrot: |
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| Do you have a quarantine area for the "new" parrot (if you already care for a bird). Please describe: |
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| Are you aware of the costs? Please describe: |
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| Why would you like to care for a bird?: |
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| What are some of your expecations with the parrot? Please describe: |
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| What type of Parrot are you looking for?: |
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| Are all family memebers in agreement about this adoption? Please descibe: |
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| Who will primarily be responsible for the parrot: |
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| Are you familiar with or can you descibe any parrot behaviors: |
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| Can you give specific examples of the special needs of parrots regarding food, toys, attention, and maturation: |
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| How often do you travel or take vacations: |
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| When gone who will care for the parrot: |
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| Would you breed the bird: |
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| Who would be your avian veterinarian: |
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| Would you be willing to install an on-site aviary? |
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| Would you sign a contract stating that if you could no longer care for the parrot that the Association for Parrot C.A.R.E. would be become the parrot's caregiver: |
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| Would you allow a represenative form Parrot C.A.R.E. to make a home visit to check on the parrots care: |
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| Are you aware that exotic birds might develop bad habits? That they could destroy furniture, clothing, cabinetry. That the parrot might turn against your spouse. That they bite. That their droppings can end up everywhere. That bad habits can devlop and can take time and effort to get over. That parrots can be expensive to keep happy, healthy, and entertained. Please describe in as much detail your reaction or understanding of this: |
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| If the parrot develops bad habits how would you react? Would you hire a behavioral therapist? Please describe: |
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| How do you feel about letting your parrot out of the cage? How many times a day and for how long? Please describe: |
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| Are you aware that the cage must be cleaned daily and that cleanliness is one of the key factors in a parrot's health? Please describe: |
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| Will you give fresh water twice a day?: |
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| What circumstance or change would make it impossible for you to care for the parrot (moving, illness, loss of job, divorce, new baby, new spouse, allergy, serious illness, parrots rejection of spouse, doesn't get along with household animals? Please describe: |
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| Companion animal history. What other animals have you or do you have? For how long? Where are they now? Please descibe: |
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Comments or Questions
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