HOME
ABOUT US
ADOPTIONS
GALLERY
EVENTS
BLOG
RESOURCES
CONTACT US
DONATE NOW
HOME
ABOUT US
ADOPTIONS
GALLERY
EVENTS
BLOG
RESOURCES
CONTACT US
DONATE NOW
AURA Adoption Application 2022
Fields marked with an
*
are required
About You
About your work
About the animals
Full Name
*
Email
*
Phone
*
Secondary Phone
Address
*
City
Is this the address the bird will be located?
*
Yes
No
If no, please provide location
Number of residents in home (including yourself)
*
Date of Birth
*
List names and relationship of residents, including age
Type of dwelling
*
House
Apartment
Condo
Other
Do you own or rent
*
Rent
Own
Is Everyone in your home in agreement to adopting?
Yes
No
Does any in your home have allergies, asthma, COPD, or emphysema?
*
Are you aware that birds are very sensitive to and require protection from fumes and airborne toxins such as Teflon/non-stick vapors, cigarette smoke, cleaning products, paint fumes, etc.?
Yes
No
Do you agree to NOT use the toxins listed above in your home?
*
Yes
No
If you are a human seeing this field, please leave it empty.
January
February
March
April
May
June
July
August
September
October
November
December
Mon
Tue
Wed
Thu
Fri
Sat
Sun
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8