First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Work Phone*
x

Cell Phone*

Alt Email

Please enter your date of birth (MM/DD/YYYY):*

Employer (or retired, stay at home parent)*

Please list the names and ages of all members of the household. Which of these members will interact with the foster bird(s)? *

What is the average work schedule of the adults in the household?*

Does anyone in your household smoke cigarettes, cigars or marijuana,or vape/e-cigs or hookah?

Does anyone in your household have allergies or asthma? If yes, list allergy triggers: *

Type of residence:*

How many years have you resided at your current address?*

Do you rent or own your residence? If rent please email fortheloveofbirdsnj@gmail.com your landlord or management company contact information. We need to confirm you can bring in a foster bird(s). Your application will not be processed without this information*

Please list the name of current and past veterinarian offices and phone numbers for avian and non-avian pets. *Please call these veterinarian offices to permit the release of your records to For the Love of Birds* *

STOP   Please call your vet to permit the release of your records to For The Love of Birds.

Please provide a list of current pets including name, species/breed, how/when acquired, and current age.*

Have you ever had to rehome a pet?

If yes, tell us about their breed/species, when this occurred, how long you owned them and what happened that you no longer have them. Who did you give them to?:

Please list all other animals that live on your property including chickens, waterfowl, pigs, horses, etc.

Please list all pets you have owned in the past 10 years and no longer living with you. Include their name, breed/species and why they are no longer with you. *

If you currently have a bird, has your bird been tested for disease?*

Tell us about your past bird experience:*

In what room(s) are you planning on keeping your foster bird(s)?*

How many hours a day will you let the bird out of the cage and play/interact with him/her?*

How many hours a day will the bird be left alone?*

Who will be the primary caregiver for your bird? *

Please list some common household items or foods that can be deadly for birds: *

Is there a specific bird species or size (small, medium, large) you are interested in fostering? We take in birds from finches to macaws. Please note we do not place large or loud birds in apartments, condos or townhomes. We start new foster homes off with smaller birds.*

Do you have a preference between a male or female bird?*

Which traits are most important to you in a foster (check all that apply)

Is there a species or size of bird you are not willing to foster?*

List other animal rescue organizations to which you have applied and/or volunteered with:*

Please provide two personal references that are not relatives or significant others (include name, relationship, phone number and email).*

I acknowledge that all information contained in this form is true and correct to the best of my knowledge. Please type your full name and date:*

How did you hear about For the Love of Birds?*