.IOWA PARROT RESCUE
                                                 2479 Golden Ave
                                                  Letts, IA 52754

                                          ADOPTION APPLICATION
Date
Name
Address
City, state, zip


Phone
eMail
Date of Birth
employment


is your home a separate house, apartment, mobile home?


Do you own or rent?


Please list everyone who lives in your home, by name, date of birth, and relationship. Include any that are in the home part of the time.







Allergies?

Does anyone who lives  in the house or vists regularly smoke? (not "does anyone smoke in the house?") If you or anyone who lives in your home smokes ANYWHERE we cannot place a bird with you.

Other pets in the house.


How many hours a day will the bird be alone?


What room will the bird live in?

Who is your avian veterinarian (this means a vet with training and experience with birds)?


Previous experience with pet birds. What kinds of birds, how much experience, what have you done with them?


Reason for wanting a bird.



What kind/species of bird are you looking for?



Anything else you think we should  know?








BE AWARE THAT A CHECK OF COURT RECORDS WILL BE CONDUCTED.




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