Applicattion Form

Here are some of the thing's we will be asking of you befor you can get a parrot from us.We dont ask to much.When the time come's for you to fill out this Application.Please just copy in to an email and fill it out.Then just send it off to us.

Application Form

Name:
Phone:

Address:

Email:

Age:

Number of adults in home:

Number of children under the age of 6 in household:

Number of children with the age between 7 and 12:

Do you own or have you ever owned a parrot before? If so what species and if you no longer have this bird where is it now and why?









Do you own other animals if so what kind and how many?

Do you own cats, if so are they declawed? yes, but not declawed yes, and they are declawed I have no cats

Do you have a Veterinarian? If so please provide his name and number:

Do you own or rent? Own Rent







Does anyone smoke in your home?	Yes No

What would you do with the parrot should you go away on holidays?

What species of parrot most interest you and why?



Would the parrot be considered a pet or a family member? Pet Family member

What traits of a parrot that you are interested in adopting and are you able to accept? Please keep in mind that we WILL not knowingly adopt out self mutilators or aggressive parrots who will undoubtedly harm someone! However it is always most important to remember that parrots WILL bite at some point and fear will enhance a birds response to bite. We can not be held responsible for any bites inflicted by an adopted parrot. Parrots can also be noisey and several times a day they will sound off. Some more than others however it is important to understand again that this is a natural flock call common in all species of birds. You must determine your tolerance level of squawking as well as noise level some birds are louder than others. Minor Squawking Major Squawking Minor medical needs Independent Very dependent Feather Plucking Lower noise level Medium noise level Noise level is not an issue

Do you understand that you and or your family may be expected to visit the parrot two to three times before the parrot goes home with you?	Yes No

Do you understand that there may be up to two scheduled home visits from someone at gift of god to your home after taking the Parrot home?	Yes No

Are you aware that if you have any problems or questions that you are must call us?	Yes No

Do you understand that if at any time you can no longer provide a home for the parrot that it is to be brought back to Dabinikeh rescue and that you will sign a legal contract indicating that this must be done?	Yes No

Are you aware that there is an adoption fee of $10-$1000.00 depending on the species of the bird and other circumstances and that if the bird is returned to Dabinikeh there is NO reimbursement?	Yes No



References: (Please note one reference should be a veterinarian if possible)

Name:
Relationship to applicant:
Phone:

Name:
Relationship to applicant:
Phone:

Name:
Relationship to applicant:
Phone:

If we are unable to contact your references after several attempts your application will be denied.
By sending in this application you are agree to our terms and understand that we will do our best to place a parrot that will be happiest with you but there is no guarantee that a Parrot will be available for adoption. Dabinikeh promises to disclose any information about the bird such as health and past history that we are aware. Upon agreement of adoption a legal and binding contract will be entered. All information is kept confidential.