Pet Adoption Application Bird Adoption Application I am fully aware that I will be adopting a living creature and as such CARE is unable to guarantee the health of the adoptee. If the adoptee becomes ill or gets injured I certify that I am financially and emotionally prepared to treat my new pet at my own expense.By Signing Below, I Acknowledge I Have Read and Understand CARE's Adoption Policies.(Required) Date signed(Required) MM slash DD slash YYYY Center for Animal Rehabilitation & Education 501 (c)(3) Non-Profit Tax-Exempt It is our goal to place each adoptee in the most suitable environment. If the adoptee you apply for is not appropriate for your home environment and/or level of expertise, you will be directed to a more appropriate option.First Name(Required) Middle Initial(Required) Last Name(Required) Date of Birth(Required) Month Day Year Contact InformationE-Mail Address(Required) Primary Phone(Required)Other PhoneCurrent Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip How Many Years Have You Lived at the Above Address?Your current address is a... Single Family Condo Apartment Duplex Mobile Home Other Do you own or rent your home? I Own the Above Address I Rent the Above Address Other Please Provide Landlord or Condo Assn. Name & Phone # Enter N/A if not applicableIf You've Lived at the Above Address Less Than 5 Years, Please Enter Your Previous AddressPrevious Address City, State, Zip List Your Current Occupation, Employers Name and Phone Number along with your Daily Work Hours(Required)How Did You Hear About CARE? I Want to Adopt Bird-Very Large(Macaw,Cockatoo) Bird-Large(Amazon, African Grey) Bird-Smaller Other Adoptee Description (Please Be as Specific as Possible: Species, Age, Name From PetFinder)Why Do You Want the Adoptee or Type of Adoptee Specified Above? If This is a Special Needs Adoptee Please Describe Your Experience With a Special Needs Pet.There Will Be a Period of Adjustment When Your New Bird Comes to Live With You. E.g. Birds May Scream. How Will You Handle This and How Will You Prepare Your Home?Where Will Your New Pet Stay/Be Cared for While You Are Out of Town? Pets You Currently Own.Include Name, Species, Breed, Age, Gender, If Sterilized and Date of Last Vet Visit (Current Vaccinations, if Applicable). If None, Enter "None."Pets You Previously Owned.Include Breed, Gender, How Long You Had Each One, Why You No Longer Have Each One.Please contact your veterinarian(s) and give them permission to discuss your pets with us (CARE). We will attempt to contact your veterinarian(s) two times over the next three business days. If they are unable to discuss your pets with us on the second call, this application will be discarded.Veterinarian's Name, Specialty & Phone NumberVet 1 Vet 2 What Do You Feed Each of Your Current Pets?What Size Cage Are Your Current Pets in?Please Respond in Length x Width x Height Format Number of Hours Your Bird(s) Are Allowed Out of Their Cage(s) Each Day? Cage Dimensions for New Bird Please List the Full Names (Including Middle Initial), Dates of Birth, and Relationships to You of All Others Living in Your Home.(Required)Does anyone in the home smoke?(Required) Yes No (if Yes, Where?) Does Anyone in the Home Have Dust or Dander Allergies? Yes No Hours You Are Away From Home Each Day for Work, School, Etc. Who Will Take Care of the Adoptee if Something Happens to You? I certify that I am over the age of 18 and the information I have given is true and correct. I understand that any misrepresentation made on this application may result in my loss of privilege to adopt from CARE. I further acknowledge that CARE makes no warranty as to age, health, breed, habits and/or disposition of birds and animals, and I completely and fully release CARE from any liability for any injury or damage any bird or animal may inflict upon any person (including children) while handling a bird or animal at our facility, or in your home. If, after you submit your application, you do not hear from us within 24 hours, please contact us at [email protected]EmailThis field is for validation purposes and should be left unchanged. Bird Application Small Animal Adoption Application I am fully aware that I will be adopting a living creature and as such CARE is unable to guarantee the health of the adoptee. If the adoptee becomes ill or gets injured I certify that I am financially and emotionally prepared to treat my new pet at my own expense.By Signing Below, I Acknowledge I Have Read and Understand CARE's Adoption Policies.(Required) Date signed(Required) MM slash DD slash YYYY Center for Animal Rehabilitation & Education 501 (c)(3) Non-Profit Tax-Exempt It is our goal to place each adoptee in the most suitable environment. If the adoptee you apply for is not appropriate for your home environment and/or level of expertise, you will be directed to a more appropriate option.First Name(Required) Middle Initial(Required) Middle name or initial of applicant. If no middle name, enter N/ALast Name(Required) Date of Birth(Required) Month Day Year Contact InformationE-Mail Address(Required) Primary Phone(Required)Other PhoneCurrent Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip How Many Years Have You Lived at the Above Address?Your current address is a... Single Family Condo Apartment Duplex Mobile Home Other Do you own or rent your home? I Own the Above Address I Rent the Above Address Other Please Provide Landlord or Condo Assn. Name & Phone #(Required) Enter N/A if not applicableIf You've Lived at the Above Address Less Than 5 Years, Please Enter Your Previous AddressPrevious Address City, State, Zip List Your Current Occupation, Employers Name and Phone Number along with your Daily Work Hours(Required)How Did You Hear About CARE? I Want to Adopt Guinea pig Gerbil Reptile Other Adoptee Description (Please Be as Specific as Possible: Species, Age, Name From PetFinder)Why Do You Want the Adoptee or Type of Adoptee Specified Above? If This is a Special Needs Adoptee Please Describe Your Experience With a Special Needs Pet.There Will Be a Period of Adjustment When Your New Pet Comes to Live With You. E.g. Rodents may hide. How Will You Handle This and How Will You Prepare Your Home?Where Will Your New Pet Stay/Be Cared for While You Are Out of Town? Pets You Currently Own.Include Name, Species, Breed, Age, Gender, If Sterilized and Date of Last Vet Visit (Current Vaccinations, if Applicable). If None, Enter "None."Pets You Previously Owned.Include Species, Breed, Gender, How Long You Had Each One, Why You No Longer Have Each One.Please contact your veterinarian(s) and give them permission to discuss your pets with us (CARE). We will attempt to contact your veterinarian(s) two times over the next three business days. If they are unable to discuss your pets with us on the second call, this application will be discarded.Veterinarian's Name, Specialty & Phone NumberVet 1 Vet 2 What Do You Feed Each of Your Current Pets?What Size Cage Are Your Current Pets in?Please Respond in Length x Width x Height Format Number of Hours Your Pet(s) Are Allowed Out of Their Cage(s) Each Day? Cage Dimensions for New Pet Please List the Full Names (Including Middle Initial), Dates of Birth, and Relationships to You of All Others Living in Your Home.(Required)Does anyone in the home smoke?(Required) Yes No (if Yes, Where?) Does Anyone in the Home Have Dust or Dander Allergies? Yes No Does Anyone in the Home Have Allergies to Timothy Grass Hay? Yes No Hours You Are Away From Home Each Day for Work, School, Etc. Who Will Take Care of the Adoptee if Something Happens to You? I certify that I am over the age of 18 and the information I have given is true and correct. I understand that any misrepresentation made on this application may result in my loss of privilege to adopt from CARE. I further acknowledge that CARE makes no warranty as to age, health, breed, habits and/or disposition of birds and animals, and I completely and fully release CARE from any liability for any injury or damage any bird or animal may inflict upon any person (including children) while handling a bird or animal at our facility, or in your home. If, after you submit your application, you do not hear from us within 24 hours, please contact us at [email protected]EmailThis field is for validation purposes and should be left unchanged. Small Animal Application Want To Help? Volunteer Application Name(Required) First Name Middle Init. Last Name Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Date of Birth(Required) Month Day Year Phone NumbersHomeCell(Required)WorkE-mail Address(Required) Preferred Method of Contact Home Cell Work E-mail For Applicants Under 18** Before volunteers under 18 can start, their parent/guardian must accompany them to CARE and sign a waiver **Parent/Guardian Name Contact PhoneHave You Had Any Previous Experience (Volunteer and/or Employee) With Any Rescue Group or Animal Shelter?Please Tell Us Why You Would Like to Volunteer at CARE.Are You Fulfilling Community Service Hours?(Required) Yes No Are You Fulfilling Academic Volunteer Requirements?(Required) Yes No List Your Pets(Name, Age, Species, Breed, Spayed/Neutered, Behavior Issues)Days/Times AvailablePlease list all days and AM/PM when you would be availableMedical Conditions/Physical RestrictionsAllergiesPlease list all food and environmental allergiesDate of Last Tetanus MM slash DD slash YYYY Emergency ContactName (First/Middle/Last)(Required) Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell Phone(Required)Work PhoneINSURANCE WAIVER The undersigned Volunteer and the Center for Animal Rehabilitation & Education, Inc. (CARE, Inc.) enter into the following binding Agreement: Volunteer understands that CARE, Inc. makes no warranty as to age, health, breed, habits and/or any remote location could inflict upon any person or property, and for any illness of the animal or for the transmittal of any illness or parasite to any other pet or person. Volunteer further indemnifies and holds harmless CARE, Inc. for any actions, suits, fees and/or expenses (including actual attorney's fees) arising out of any injury from an animal on the premises of CARE, Inc. and/or any remote location.The Volunteer Name on This Application Indicates They Are at Least 16 Years Old. Yes No If, after you submit your application, you do not hear from us within 24 hours, please contact us at [email protected]NameThis field is for validation purposes and should be left unchanged. Volunteer Application
