Online Adoption Questionnaire and Application
Wings Over Williamsport Pet Bird Society & Rescue Program Avian Adoption Questionnaire
Filling out this form does not guarantee that the bird or parrot [s] will be placed in your home.
The bird or parrot to be adopted________________________________________________________
1] Your full name, address, phone# and email.______________________________________________
2] Do you rent or own your home?________________________
If you rent your home your landlord will have to sign a form verifying that you are permitted to have this pet in your home.
3] Any smokers in your home?________
4] List all other pets that you currently have.___________________________________________________
5] Who will be the primary caretaker?________________________________________________________
6] If you have pet birds now describe a normal daily routine with your pet._____________________________
Use additional space as needed
7] Are you willing to allow someone from our rescue program visit your home?__________________
8] Are you willing to become a member of, and participate with Wings Over Williamsport Pet Bird Society?_____
This would require that you attend at least six monthly meetings over a period of a year.
9] Are you willing to allow people involved with the rescue program to work with you over a period of time while your new pet is adjusting to your home?________________________
Signature and Date:___________________________________________________________________
Our re-homing fee includes a membership for one year.
Contact us for an address where you can send your application.