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REGISTRATION FOR PARROT ADOPTION
 
 
REGISTRATION FOR PARROT ADOPTION
 
Adopting A Parrot From Pacific Parrot Placement:
Please submit this form if you wish to adopt a parrot.
(If you wish to place your parrot for adoption , please click here)
All information is kept entirely confidential.
You will be contacted soon by one of our representatives if we can immediately assist you.
Otherwise, you will be placed in our database for future reference.
(Please note: currently this service is available for persons in Washington and Oregon only)
 
PART ONE:
Have you read our article "So You Want A Parrot" (Please read before continuing)
YOUR NAME:
TODAY'S DATE:
E-MAIL ADDRESS: (required to use this form)
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
YOUR AGE:
YOUR GENDER:
How Did You Find Out About Us?
 
PART TWO:
Why do you want a parrot?
What experience do you have with parrots?
In priority order, list the species of parrots that you would be willing to consider adopting:
Would you consider adopting a bird that has some "issues"? Please check the boxes below that you might consider:
Feather Picker (plucker)
Loud
Sometimes Bites
Not Tame
Older Bird
Injured or Deformed
Other Special Needs
One-Person Bird
List the members of your family and their ages:
What type of setting do you have for the parrot? (i.e. house/apartment, size of house, room where parrot will be kept, etc.)
Do you own or rent your home?
Own Rent
List and describe other birds you have in your household:
What other (non-bird) pets do you have?
Are you willing to allow a home inspection?
Are you willing to pay the donation fee (ranges from $50-500 depending upon species and individual bird) to adopt a parrot? (PPP is entirely funded by donations)
Yes No
Have you read our article "An Only Bird is a Lonely Bird" (Read Article Now), and if this will be your only bird, are you willing to adopt another parrot in the near future as a companion to this bird?
Additional Information You Can Provide:
CAPTCHA:
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Input CAPTCHA:
 
  Please press button only once, and wait for form to process.
THANKS FOR YOUR SUPPORT!
 
 
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