H.O.R.S.E. Inc. & Feathered Friends
Avian Adoption Application
Date: ___/___/___
Name: ________________________________________Date of Birth: _____________
Address: _______________________________________________________________
City: ________________________State:_________________ Zip Code: ____________
Email: _________________________________________________________________
Home Phone: _________________________Work Phone: _______________________
How many people living in your household? Adults? _________Children? ___________
Please list ages of all other members living in your home: _______________________
Do you have any other pets? Please list type and how many of each: ______________
Is each member of your household aware that you are filling out this application? ____
Current Employer: _______________________________________________________
Phone: Supervisor: _______________________________________________________
How long with this employer? ______How many hours a week do you work? ________
Do you own or rent your current residence? _____How long at current residence? ____
If you rent, are pets allowed? ______________Landlord name: ___________________
Address: _______________________________________________________________
Phone: Fax: ____________________________________________________________
Do you live in an Apartment________ House_________ Condominium_____________
Do you currently own a companion parrot? ______ Breed: _________ How long? _____
Have you previously owned a parrot? ________Please explain why you no longer own
this bird: _______________________________________________________________
Please explain any experience you have had with companion parrots/exotic bird (use an additional
sheet of paper if necessary):_______________________________________________
Why have you chosen to adopt a parrot/exotic bird?
_____________________________________
How did you hear of H.O.R.S.E. Inc.& Feathered Friends? ________________________
Do you currently have an avian veterinarian? __________________________________
Clinic Name: Vet’s Name: __________________________________________________
Address: _______________________________________________________________
City: _____________________________State:_____________ Zip Code: ___________
Phone: _____________________________Fax:________________________________
If you do not currently have an avian vet would you like us to recommend a
qualified avian vet in your area? _____________________________________________
What will you do with your bird if you have to go away on an emergency or family
vacation? _______________________________________________________________
You are aware that this bird may out live you. Prior arrangements must be made as to
the outcome of this bird in the event of your passing. What type of arrangements will
you make? ______________________________________________________________
What type of bird are you seeking to adopt? ___________________________________
Why this species? _________________________________________________________
Please provide us contact information for 2 personal references of people who have
known you at least 5 years and 1 veterinary reference.
Name: _________________________________________________________________
Address: _______________________________________________________________
Phone: _____________________Years known: _______Relationship:_______________
Name: _________________________________________________________________
Address: _______________________________________________________________
Phone: _____________________ Years known: ______ Relationship: ______________
Vet Name: ______________________________________________________________
Address: _______________________________________________________________
Phone: _______________________
By signing this application, you agree that the bird must remain in your custody. If your
circumstances change and you are no longer able to care for this bird, that it must be returned to
H.O.R.S.E. Inc. & Feathered Friends Sanctuary. No refunds of adoption fees will be given. You
must provide us with any change of address and/or phone number. You agree that H.O.R.S.E. Inc.
& Feathered Friends Sanctuary will check
references, verify employment and housing prior to the adoption process. You also agree to allow
a representative of H.O.R.S.E. Inc. & Feathered Friends Rescue Sanctuary into your home to
check on the adopted bird. You understand that if at any time this bird is found to be given
improper care, that this bird will be removed from the home by the representative performing the
home visit.
______________________________________________________________________
Signature Print Name Date
Mail completed application to:
H.O.R.S.E. Inc.& Feathered Friends
5236 International Ave Mims Fl 32754
Or e-mail to horsehelpers@yahoo.com
H.O.R.S.E. Inc.& Feathered Friends
Adoption Contract
Congratulations on your decision to adopt a bird from H.O.R.S.E. Inc & Feathered Friends.
Properly cared for, your new pet can give you a lifetime of companionship. Given the nature of
exotic birds and the commitment that you are now making, it is imperative that you agree to the
following:
1. If for any reason, I am even unable to keep my bird, I will notify H&FF and make arrangements
to return the bird.
I will not give the bird to anyone else.
2. I will not, at any time, breed this bird.
3. I will daily feed my bird a varied and healthy diet.
4. I will not intentionally allow my bird to become flighted and will make every effort to keep his/her
wing feathers clipped.
5. I will take my bird to the avian vet for annual examinations and at any sign of illness.
6. I will provide my bird with fresh water, a clean and roomy cage and plenty of safe toys.
7. I will not sell this bird or otherwise use it for monetary gain.
8. I will notify H&FF if I move or change my telephone number.
9. I understand that parrot care is an expanding field and I promise to keep abreast of any new
developments that may enhance my ability to care for my bird.
10. I understand that parrots are very long-lived and have made or will make the appropriate
arrangements.
11. I understand that parrots are not domesticated animals like dogs or cats, and that modifying
certain behaviors may require training, expert advice and patience. I agree to work with my bird to
modify any such undesirable behavior without the use of negative reinforcements or other
methods which may harm him/her. I also understand that certain behaviors may never be entirely
eradicated.
12. I agree to give my bird all the attention, affection, interaction and mental stimulation
appropriate to a highly intelligent and social creature. I agree to treat him/her like a treasured
member of my family.
13. I understand that questions will arise as to the proper care of my parrot, and I agree to contact
H&FF or an avian professional with these questions. I agree that it is in the best interest of my bird
to ask rather than to guess.
14. I will keep my bird in a smoke free environment.
15. I will make adequate arrangements for my bird in the event of vacations or prolonged
absences from home.
IF AT ANY TIME, IT BECOMES THE OPINION OF H&FF THAT THESE CONDITIONS ARE NOT
BEING MET, I UNDERSTAND THAT H&FF MAY RECLAIM THIS PET IRRESPECTIVE OF ANY
DONATION OR OTHER EXPENDITURES THAT I HAVE MADE. I UNDERSTAND THAT THIS IS A
LEGAL AND BINDING CONTRACT.
Except as set forth above, H.O.R.S.E. Inc & Feathered Friends makes no representations,
warranties or other guarantees and assumes no liability for the health, age, sex, temperament
(including the capacity to bite), behavior, talking ability or condition of the birds available for
adoption. The “adopter” expressly agrees to take the bird as is and will be responsible for all
veterinary care and releases H.O.R.S.E. Inc. & Feathered Friends from all liability for the bird’s
health.
If you have other birds, it is strongly recommended that you observe reasonable quarantine
procedures for at least thirty (30) days.
H.O.R.S.E. Inc & Feathered Friends is operated for the benefit of the birds. While we are not
veterinarians, if any problems or questions arise as to the behavior or care of your bird, we
welcome and encourage your inquiries.
H.O.R.S.E. Inc. & Feathered Friends is operated on a non-profit basis. All donations are tax
deductible. All donations are non-refundable. While H&FF is delighted to make recommendations
of products, professionals, publications and other items and services relevant to the care of your
bird, neither H&FF nor any of it’s volunteers or representatives assumes any responsibility for
these recommendations. Thank your for your support.
I have read this agreement, understand it and agree to each and every one of its terms.
Name:
_________________________________________________________________________
Address:
______________________________________________________________________
City, State and Zip:
_______________________________________________________________
Home Phone: (___) _____________________ Business Phone: (____)
_____________________
Donation: __________________ Signed (Adopter)
______________________________________
Date: _____ / ______/ ______