Name:
Mailing Address: City: State: Zip
Home Phone: Work Phone: Email
DL #
Why do you want to adopt a bird?
Where will the bird be kept: indoors, outdoors, living room, and size of cage if you already have one what type is it? Please describe.
Veterinarian you will use for this animal:
Name: Address: City, State, Zip: Phone:
Employment: How long?
How long have you been at this residence?
I nteraction with the bird: What age groups of people are in or frequent the home that the pet will have contact with? Select all that apply.
Adults
Infants Children Under 5
Children Ages 5 to 13 Teenagers
How many members live in the home? What are their ages?
Who will be the main caregiver of your bird?
What avian education do you have or experience handling birds?
YES
Are you willing to volunteer at Flying Colors Bird Sanctuary to get to know your bird prior to adopting it? (or) Attend classes if available to learn how to care for your bird if you do not have any previous experience with birds?
YES I am willing to volunteer at an aviary and (or) attend classes in my area if available. I live several hours away. I welcome any assistance from Flying Colors Sanctuary to learn what I need to know
NO I am confident I can research on my own and learn what I need to know the care requirements for my adoption.
How many hours per day will the bird be left unattended? Where will it be kept during this time?
Other Pets: How many other pets owned? Please list what kind of animal they are. (Example: 2 dogs, 1 bird, 1 cat.)
Will the animal be around livestock or other farm type animals?
YES
NO
How did you hear about Flying Colors Bird Sanctuary of North Carolina ?
Terms You must be 18 yrs. or older or have legal guardian sign for adoption in person. The legal guardian will be responsible for conditions of adoption to be met. Submitting application does not guarantee a bird adoption. FCBS personnel are authorized to make final determination after consultation and at their discretion. There can be a waiting period between submission of application and adoption being granted, in order to verify information. We reserve the right to ask to see where the bird will be living, do follow up checks on veterinarian visits and reclaim the bird if adoption agreement has not been met within given time unless documentation from veterinarian is given that it is not in the bird's best interest for medical reasons. No bird's are to be bred or allowed to breed, as this may result in FCBS reclaiming bird All birds are to be made and kept current on any necessary medical needs as recommended by their veterinarian. Birds adopted from FCBS are intended to be a part of your family and kept in a clean and safe environment. FCBS reserves the right to reclaim any bird if it is found at large or is not in compliance with our requirements in addition to local animal control laws You will be required to provide proof that you own your home or that you where you rent permits you to have pets of the type you have applied to adopt.
YES I have read and agree to the above terms.
YES We agree to remove any Teflon or Non-Stick cookware from your home including irons?
YES I have read the toxic list and understand with any improper care of a bird adopted from Flying Colors Bird Sanctuary forfeiture of the bird will occur .
You must agree to the terms above (by clicking the check box) before you can submit this form.