Cherished Wings Parrot and Bird Rescue Inc.
All of the information you provide will be held in strict confidence. Owning a bird is serious responsibility. Our policy is to ensure that all potential adopters are aware of this responsibility and are financially and physically capable of accepting it. Please answer all the questions and feel free to explain any answers and / or comments. If a question does not apply write N/A. If a question is left blank, the application will not be considered. This application is designed to aid all parties in the decision-making process, as we are seeking the best family for each bird and the best bird for each family…..
How many adults reside at this address?___________
Do you live in a house?_____ Apartment_____ Condominium ________Other______
Do you own or rent?__________
Do you have children? Yes No
If so, what ages are your children ______________
Will your children be playing an active roll in the care for a new bird? Yes No
Do you own a parrot or bird at the present time? If so what species and how long have you had your bird? If not, where is your bird now and why? ___________________________________________________________________________________________________________________________________________
Are you breeding birds? Yes No
Have you ever bred parrots or birds? Yes No
Are you looking for a parrot or bird to use in your breeding program? Yes No
What species of parrot or bird are you interested in adopting?_____________________
What other pets do you own? Please check all that apply.
Dog (s)_______ Hamster (s)_____________
Cat (s)________ Gerbil (s) ______________
Reptile (s)_________ Guinea pig (s)____________
Ferret (s)__________ Rabbit (s)_______________
If you own a cat is he/she de-clawed? Yes _____No____________
Do you have a Veterinarian? Yes No If so please provide his/her
,number and address:
Does anyone in your home smoke? Yes No
Do you use any air fresheners, carpet powder etc? Yes No
Are you or anyone in your household home during the day? Yes No
If not, what would your schedule be during the week and on the weekends?
Do you have someone to care for your parrot or bird when you go away on vacation?
If you don’t have anyone what will you do with your parrot or bird?
How much time approximately would you be able to interact with a parrot or bird each day? Please check one:
15 min.-1/2 hour_________
˝ hour—1 hour__________
1 hour ---2 hours _________
2 hours or more_________
Would your new parrot or bird be considered part of the family? Yes No
Will your bird be allowed to exercise out of his/her cage each day? Yes No
In what room of your home are you considering placing your parrot or bird’s cage?
Living room_________ Family room___________
Dining room_________ Kitchen _____________
Bedroom ___________ Other ________________
Will you be having your parrot or birds wings clipped? Yes No
Have you ever trimmed a parrot or birds wings before? Yes No
Please be aware that we at Cherished Wings will not knowingly place a parrot or bird in a home that has been known to
pluck his/her feathers or has an aggressive personality which could possibly
injure someone without notifying you first. It is, however, important to realize
that parrots and birds are capable of biting and can do so at some point if
frightened or mishandled. Fear especially will trigger a bite reaction. We at
Cherished Wings cannot be held accountable for any bites
that may be inflicted upon anyone by an adopted parrot or bird as will as any
damage that the parrot or bird may cause to ones home. Parrots especially can be
noisy and will sound off several times a day. This is the most common in
the early morning and evening hours as well as throughout the day. Some species
of parrots and birds are noted more than others for doing so. This is natural
behavior in which a bird communicates within the flock. You will have to
determine your tolerance level regarding squawking and noise as some are louder
than others. From the list below please check off in each category the level in
which you can endure.
Noise level Low___________ Dependency Low _____________
Med_________ Med ___________
Med ________ None of the above concern me __________
You may be expected to visit 2-3 times with the bird before the adoption is complete. Are you willing to do this? Yes No
Are you aware that Cherished Wings may require 2 home visits after taking your bird home? Yes No
I understand that if I have any questions or concerns regarding my bird that I am to call Cherished Wings Yes No
I understand that if at any time I can no longer care for my bird that he/she may not be sold or given to a pet store. Yes No
I may give the bird to another family member or friend after notifying Cherished Wings first.
If the bird comes back to Cherished Wings there will be reimbursement equal to the condition of the bird minus 10 to 20% after it is re-adopted.
Will you sign a legal contract indicating this? Yes No
Where you made aware that there will be an adoption fee charge for each bird, Yes No
I understand that Cherished Wings is not responsible for any damages that these birds may inflict upon me or my home. Yes No
Please provide 3 references ( non-family members)
1. References/phone number: _______________________________________
2. References/phone number: _______________________________________
3. References: /phone number: _______________________________________
****NOTE**** upon signing this document it becomes a legal contract that you fully understand.