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Birds and Pooh

In: Business and Management

Submitted By sah9826
Words 1211
Pages 5
Feathers, Fur & Friends Animal
Rescue and Sanctuary
1680 SE Virginia Road, Bend, OR 97702

Thank you for taking the time to complete this application.
The information provided will help us understand your home environment, as wel l as your qualifications and interests regarding fostering or volunteering. Please do not hesitate to call with questions or assistance in completing this form. Pleas e be as thorough and precise as possible. We will be checking veterinary referen ces, and we ask that you notify your clinic so release information to our rescue is allowed. Name: ____________________________________________ Age: _____
Signature: ___________________________________________________
Spouse/Significant Other: ______________________________________
Children's Ages: ______________________________________________
Address: ____________________________________________________
City, State, Zip: ______________________________________________
Phone Home: (____) ____ - _____ Alternative Phone: (____) ____ - _____
Best time to call at what number: ________________________________
Occupation: _________________________________________________
Spouse's Occupation: __________________________________________
Type of Dwelling: House: ____ Condo: ____ Apartment: ____ Other: ___
Do you rent: ___ own: ___?
If you rent, do you have the landlord's permission to foster a bird? _______
Does anyone in your home smoke or will you allow the bird to be around smoke from house guests? _______________________________
Do you own any other birds or pets? ______ and if yes, what are they, how many are there and how long have you had them?

In what way are you interested in helping-toy making, fostering, fundraising, home visits, transporting, etc?
If you are interested in fostering a bird for Feathers, Fur &
Friends, is everyone in your home aware and in agreement with this decision?
Who will be primarily caring for and working with the foster bird?
Does anyone in your household have allergies or asthma?
Please tell us about your bird experience:
Do you use scented plug-ins, air fresheners, candles, etc? ______________
Do you use nonstick coated cookware? _________________
Do you currently have any birds? ______________________
If yes, please list: Name, Age, Sex-if known, How long have you owned the bird, and date of last vet visit?
How much time does your bird spend alone? ___________________
How much time does your bird spend outside the cage each day?
What kinds of foods do you feed your own bird(s)?
Do you have an Avian Vet? _____________________________________
Do we have permission to contact your vet for references? ____________
If yes:
Name: ______________________________________________________
Address: ____________________________________________________
Phone Number: (____) (____) (______)
Do you currently have pets other than birds? ________________________

If yes, please list: Name, Species/Breed, Age, Spayed/Neutered, Indoor or Outdoor, How lon g have you owned the animal, date of last vet visit?
Have you ever had any pets you no longer have? _________________________
If yes, please explain the circumstances:
Are you agreeable to a home visit prior to fostering? ______________________
Please answer these next questions with your experience level. Write “Yes or No”.
Small Birds for New Bird Owners with little to no experience (Finches, Canaries,
Parakeets, Budgies, Lovebirds, Cockatiels etc.) __________________________
Small-Medium birds for Newer Owners that have some bird experience with Cockatiels
(Quakers, some smaller Conures, Indian Ringnecks, Parrotlets) ______________
Medium Birds for Experience Bird Owners of small-medium species (Senegal, Larger
Conures, Pionus, Meyers, Jardines, Red Bellied) __________________________
Medium-Large Birds for Advanced Bird Owners (Larger Conures, Senegal’s,
Small Cockatoos, Mini Macaws, Caiques) ________________________________
Large Birds for Expert Parrot Owners (Large Macaws, Large Cockatoos, African Greys,
Eclectus, Amazons, Lories and Lorikeets) ____________________________
Is there a species which you do not wish to foster? If yes, please explain why:
Are you able to quarantine a foster bird?
Are you able to handle birds with handicaps or behavior problems?
Are there specific behavior problems you would not be comfortable dealing with?
Are you willing to show the foster birds to well-screened, qualified potential adopters in yo ur home? _________________________
Please list 2 other non related references with contact info:

PLEASE READ CAREFULLY. This is not meant to intimidate you nor to cast a negative light on rescued birds, however, rescued

birds are no more and no less likely to behave in an aggressive or unpredictable manner than any others. We do want to make you aware of the possibilities when working with them.

The birds that Feathers, Fur & Friends places in foster homes may have a past where they have been surrendered, abandoned, or in some way displaced. They may have been abused or neglected. There may only be limited information available regarding their previous environment. FF&F will share with you what information we have regarding the bird. There will be an adjustment period, PLEASE remember to be patient, consistent, and understanding while working with these birds. They may not reveal their true, trusting personality until many weeks or months go by and they learn they're with a human they can once again trust. Think of them as a slowly blossoming, fragile and beautiful flower.
The birds placed in foster homes may not have been seen yet by a veterinarian.
It is possible for a bird to be a carrier of, or infect with, a disease that is undetectable with the current tests and tools available today. Therefore, you should quarantine any bird new to your flock. FF&F recommends a prior of at least 30 days -- 90 days would be ideal.
If a bird is placed with you, you will be responsible for providing appropriate food, water, and loving attention. By signing this for you understand that you will be financially responsible for the veterinary care, any specialized diets the bird(s) may require and new toys on a regular basis to keep the birds mentally stimulated and happy.
If you have an emergency or in any way or concerned about our bird’s health we ask that you notify us immediately so we can have input into what the best may be for the bird.
Please have an emergency Avian veterinarian in mind to use before an emergency may take place. Feathers, Fur & Friends may periodically do a spot check and need to see how a bird is doing and these visits will be allowed unannounced. If a home visit is not possible for whatever reason on the part of FF&F then a request may be made for a time stamped photo of the bird and it’s living conditions, including the cage, toy set up, and the room it lives in.
I certify that I have never been charged with nor convicted of animal abuse or neglect in
Oregon or any other state. I certify that no one in the household where this bird would reside has been charge with nor convicted of animal abuse or neglect in Oregon.
_______________ (Please Initial)
I understand FF&F is actively seeking a permanent home for any bird placed in foster care. I certify that I will return to FF&F, upon request, any bird placed in my home for foster care. FFF may give you the option of adoption, however, an adoption fee must be paid to cover vet costs and an adoption application and contract must be filled out and signed. I, the undersigned, acknowledge that there are risks in visiting, housing, and/or handling rescued birds, including illness or injury to pets or myself, and/or damage to my property. I agree to release Feathers, Fur & Friends from any liability in the event.

Birds placed in this home:

Signature: ______________________________________Date:_____________
Witness: _______________________________________Date:_____________
Feather, Fur &
Friends: _________________________________________Date:_____________

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