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Bird Adoption Application

Thank you for your interest in adopting a bird! To help find the best match possible, please complete this form.

Adoption Application - Bird - updated 2/2019

First Name *

Last Name *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Address

Primary Phone *

Alternate Phone

Email *

Date of Birth *

Please tell us about your household.

How many people do you have in your home? *

How many of those people are children? *

Do you have small children (5 years or younger) or have small children who frequently visit your home? *

Yes

No

Are the people in your home ready and willing to add a bird member to your family?

No Yes

I/We... *

Own our single family home

Rent our single family home

Own our condo/apartment

Rent our condo/apartment

Own our mobile home

Rent our mobile home

Is your home... *

Active

Quiet/Low-key

Somewhere in between

Do you have a smoke-free home? *

Please tell us about your bird knowledge.

Do you have any experience keeping birds? *

Do you know that a bird's life expectancy can be 70 years or more? *

Are you aware that exotic birds may carry diseases that can infect humans? *

What type of food will you feed your bird? *

Who is your avian veterinarian?

Would you like a recommendation for an avian veterinarian?

Please tell us about a bird you'd like to adopt.

Is "quiet"... *

A must

Doesn't matter

Is "affectionate"... *

A must

Doesn't matter

Is "loves children"... *

A must

Doesn't matter

Is "social"... *

A must

Doesn't matter

Is "okay being alone"... *

A must

Doesn't matter

Is "low maintenance"... *

A must

Doesn't matter

Is "destructive chewing" *

Definite no

Will train

Is "biting"... *

Definite no

Will train

I'm interested in a special needs bird, with known medical needs. *

No

Yes

I'm interested in a special needs bird, with behavioral needs, like feather plucking or screaming personality. *

No

Yes

Why are you interested in adopting a bird?

What are your bird exercise and enrichment plans?

Games/Puzzles

Training

Out-of-Cage Play

Toys

Other:Other:

For whom are you adopting? *

Our family

Another family member

Companion for another pet

Our child(ren)

How many hours a day would the bird need to be alone? *

How many hours a day can you devote to your bird? *

If you're interested in a particular bird, please write her/his name here (Please note this doesn't place a hold on the bird, and we cannot guarantee adoption):

-

Yes, add me to the HSHV email list for the latest promotions and updates from HSHV.

If you are human, leave this field blank.

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Humane Society of Huron Valley

ADOPTIONS

Mon-Weds: 11 am to 6 pm
Thurs-Friday: 11 am to 7 pm
Sat-Sun: 11 am to 5 pm
No appointment necessary;
walk-ins welcome!

CLINIC

Mon-Fri: 9 am to 7 pm
(Surgery drop-off 8 am)
Sat-Sun: 9 am to 4 pm
Call (734) 662-4365 for appointment;
please, no walk-ins.

INTAKE

9 am to 5 pm, 7 days a week
To serve you best, please call our
Intake Department prior to
coming in: (734) 661-3528

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3100 Cherry Hill Rd • Ann Arbor, MI 48105 • Fax: (734) 929-0814 • Phone: (734) 662-5585

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