Cockatiel Relocation Station - Spokane, WA

Spokane Area Representative
Sarah Forbes
509-218-0051

  • Completing this application does not guarantee an adoption.
  • The bird's welfare is our #1 priority. Our hope is, by answering honestly, we can work together to correct any issues that may need attention. We also want you to understand that we will always be there to help you with this adoption. If you don't know the answers to all of these questions, please let us know, and we will help educate you more about birds and their care before completing the adoption.
  • If you would rather mail your application, please click here to download the form.

ADOPTIVE HOME APPLICATION

1) Applicant's name:
2) Applicant's physical address:
    House or Apartment:    Do you own or rent:
    If you rent do you have permission from the landlord for a bird:
3) Applicant's phone number:   Best time to call:
4) List everyone living in your home:    If children please list ages:
5) Do you have birds now:    If yes, what:
6) Have you ever owned birds that are no longer in your care:
     If yes, please explain below:
7) Please list all other animals also living in the home:
8) Are all adults, that live with you, aware that you are interested in adopting a bird?
9) Do you work:
10) How many hours a day will the bird be left unattended:
11) Would anyone living around the bird smoke:
Smoking outside is fine with me. If you are a smoker & bird is placed: ANY EVIDENCE OF SMOKING IN THE HOME, after adoption, WILL RESULT IN THE IMMEDIATE REPOSSESION OF BIRD. We do continue to check.
12) Do you understand that we do not allow any bird we place to go to a home where cigarettes are smoked in the house?
13) Will you be willing to take a bird with behavioral problems:
14) If you travel who will take care of the bird:
15) Do you already have an avian vet:
16) What will you do if you run into a behavioral problem that you cannot seem to solve:
*We are available 24 hours a day to help with health or behavior questions.
17) Are you aware that hook-bills have a normal urge to chew wood, buttons, jewelry, furniture, molding and any other thing that may get in reach of their potentially destructive beaks?
*It is imperative that wood toys be available, at all times, to avoid birds destructive chewing.

18) All birds are expensive. They need lots of attention and maintenance. Have you considered this?

19) Please explain what you are looking for in a bird:
20) Do you understand that an inspection of dwelling is required before you will even be considered for an adoption:
21) Do you also understand a post adoption visit is also required:
22) Please list a few signs of illness in a bird:
23) Please describe dangers in a household that a bird might be exposed to in any household:
24) Where in the house will the bird's cage be located?
25) Vitamin deficiencies can be life threatening to birds. It is very important that you provide a bird with a wide variety of foods. What foods would you feed/provide to your bird:
26)What are some foods that are toxic to birds?

27) What size (in dimensions) will the cage be, for the bird you are interested in:

28) May we see cage before adoption?
29) Why is it necessary to provide perches of different diameter and texture perches?

30) List some household cleaners & plants that are toxic.

31) Can you name items in every household that many pose a danger from fumes to birds? 
Due to a bird's very complex respiratory system, smoke of any type (even burnt food in kitchen) is deadly to birds.
32) Have you ever been charged with animal cruelty or neglect of any animal?
     If yes, when, where, and why:
     If yes, were you convicted?
37) Can we ask how you heard of us? 
 
    

 

Thank you so much for considering adoption, and for your time!

© 2007 Cockatiel Relocation Station