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All Paws Rescue - Bird Adoption Questionnaire
Use this form if you're interested in adopting a bird from All Paws Rescue.
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Which bird(s) are you interested in adopting? *
Legal Name *
Street Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Work Phone *
Email Address *
Are you at least 21 years of age? Photo ID may be required at the time of adoption. *
Which of the following describes your current residence? *
How many years have you been at this residence? *
If you rent, does your landlord allow pets?
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Who will this pet be for? *
Please list the ages of any children under 18 in the home.
Who will have primary responsibility for the bird(s)? *
Are they willing to clean the cage, and provide food and water? *
Does anyone in your family/household have known allergies to birds? *
Do you currently have bird(s)? If so, please tell us about him/her/them (include type, age, gender and personality, please). *
If you have other bird(s), do you plan to cage your new bird(s) separately or together?  
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Besides birds, how many and what type of animals are also in your home? *
What are the dimensions of the cage you plan to house your bird(s) in? *
Reference Section
Reference #1 - Please list the name, phone number and email address *
Reference #2 - Please list the name, phone number and email address *
Do you currently have a skilled bird vet? If yes, please list the vet's name and the name of his/her clinic, along with the full address and phone number. *
May we contact your vet as a reference?
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If you don’t have a veterinarian, may we recommend one?
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How did you hear about All Paws Rescue? *
What additional questions, concerns or comments do you have regarding this adoption? *
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