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You must read the following in order to qualify for adoption, along with the other adoption process.  

Beak n Wings, Inc.

An Educational Pet Bird Club & Rescue

501(c)3 Non-Profit organization

EIN: 77-0630832

 

9010 Rosehill Rd., Ste B. Lenexa, KS 66215

913-322-3398 adopt.bnw@gmail.com admin@beaknwngs.org

Adoption/Foster Application

This application is for Conures to Macaws

In order to become a potential adoptive or foster person for /from Beak n Wings, you must complete our screening requirements, which include a bird care class, home visit. You will be contacted by phone or email as soon as you have your home visit and approved by the Vice President of rescue/adoption. You must be at least 18 years of age to adopt a bird from Beak n Wings. This application is designed to provide Beak n Wings with necessary information to begin an application placement.

I am interested in (membership required to foster)

Prior to filling out this application, please make sure that the following "read only files" have been read. Adoption Disclaimer, Quarantine Procedures, Parrot advisory statement.

Date submitting application
Month
Day
Year

Contact Information

Age Information

Your Age
What bird species are you interest in?
Do you travel a great deal?

Employment

Housing

What type is your residence?
Rent or own

Health

Does anyone in your home have health conditions that could restrict their ability to handle the bird? Does anyone in the home have allergies?
Quarantine: Do you have a separate quarantine area for new adoption bird?
Do you or anyone in your household smoke in the house?
Are all parties in the home aware that this adoption application is being made?
Do you currently have other birds living in your home
Are you looking to breed your bird?
Do you currently have an avian veterinarian?

ADOPTION ONLY

Are you planning to keep your adopted bird in an aviary?
Are you aware that bird medicine can be very expensive?
If your bird becomes ill, will it be a financial burden for you? If yes, would you take the bird to the vet anyway?
Under what circumstances would you not keep the bird?
Are you willing to accept birds with physical challenges?

Beak n Wings, Inc.

Release, Waiver & Indemnity

for

Visitors & Volunteers

 

I, voluntarily and knowingly sign this Release, Waiver & Indemnity (“Waiver”) with the express intention of divesting Beak n Wings, Inc., a Kansas non-profit, from any liabilities and obligations as described below. I understand that any animal can inflict injuries and that the birds at Beak n Wings are birds that have been rescued or given up by their owners, are unpredictable, and may bite or scratch me for any reason or for no reason. I assume all risk associated with Beak n Wings and with viewing, handling, feeding and caring for the birds at Beak n Wings.

 

I hereby release and forever discharge Beak n Wings and its employees, volunteers, directors, officers, administrators, agents, and assigns (collectively, “Indemnitee”) from all liability for any and all claims, demands, actions, causes of action or suits of any kind or nature whatsoever and particularly on account of any injuries (e.g., including, but not limited to, bird bites), both to person and property, and economic and non-economic losses I may suffer, that may result from, or develop in the future as a result of my handling, viewing, holding, petting, observing or otherwise the birds at or in the possession or control of Beak n Wings, Inc.  I further agree that if, despite this Waiver, I or anyone on my behalf makes a claim against Beak n Wings or any Indemnitee, I will indemnify, save and hold harmless Beak n Wings or any Indemnitee from any damages, losses and expenses including, but not limited to, legal fees, courts costs, and litigation expenses.

 

In exchange for granting this Waiver, I acknowledge that I will be allowed access to the birds at Beak n Wings.

 

I understand that the following are some, but not all, of the risks associated with being handling birds from Beak n Wings and all birds:

• Bites or scratches from the birds

• Slips, trips and falls resulting from wet or slippery floors

• Hitting head on objects such as cages, perches, cabinets, etc. or other Injuries resulting from cages, perches, cabinets, etc.

• Zoonotic illnesses (human illness contracted from animals)

• Injuries related to lifting animals, food, cages or equipment

• Damage to clothing from animals, cages, chemicals, etc.

 

I agree to use reasonable care at all times while I am around the birds of Beak n Wings. I agree to follow all rules established by Beak n Wings and have read, understand and agree to the Beak n Wings Rules provided to me concurrently with this Waiver.

 

I acknowledge and agree that I: (a) fully understand the meaning of this Waiver and recognize my right to seek the advice of an attorney before signing it; (b) have signed it freely and without any inducement or assurance of any nature; (c) intend it to be a complete unconditional release of liability to the greatest extent allowed by law; and (d) agree that, if any portion of this agreement is held to be

invalid, the balance notwithstanding shall continue in full force and effect. The acceptance of this waiver shall not operate as an admission of liability on the part of anyone, nor as a waiver or bar with respect to any claim that Beak n Wings may have against the undersigned.

 

This release is binding on my heirs, executors, assigns and administrators. The undersigned is aware of the risks of visiting or handling the birds at Beak n Wings and hereby assumes all risks. The risks include those foreseen and unforeseen, known and unknown.

 

I have read this Waiver carefully and fully understand its content, and voluntarily agree to its terms. I acknowledge that, in signing this Waiver, I am waiving certain legal rights, including the right to sue.


I understand that a home visit will be required before adoption and that I will be expected to know the basics of parrot nutrition, housing requirements, health and behavior, or my application will not be approved. Beak n Wings, Inc. recommends, but does not require, attending the Basic Bird Care class prior to the home visit. I further understand that attendance at the class will be required prior to adoption unless I have previously attended the class.

 

I understand that Parrots need appropriate size housing. I will have an appropriate cage for the bird prior to adopting. Beak n Wings, Inc., will require the cage be present at home visit or proof of it present in the home prior to adoption.

 

 This waiver is executed on:

Date
Month
Day
Year
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

           For office use only:

DO NOT WRITE IN BELOW SECTION:


                               [     ] Approved                          [     ] Declined  

 

If declined explain why: ________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

 

Approved for Adoption List Birds:

 

Bird Name ______________ Species ______________ Date ______________

 

Bird Name ______________ Species ______________ Date ______________

 

Bird Name ______________ Species ______________ Date ______________

 

Bird Name ______________ Species ______________ Date ______________

 


Signature                                                                Print

VP R/A or ED only                                                VP R/A or ED only

 

Date of Home Study ____________________________

 

 

Application Checklist

 

[     ] DL/ID Card on file

[     ] Training Class taken (Date__________)

[     ] All areas of application filled in

[     ]Agreement initialed and signed

[     ] Waiver signed and dated

 

 

 

NOTE: The surveyor does NOT have the authority to approve or decline an applicant looking to foster. The decision shall be that of the Vice President of Rescue / Adoption or the Executive Director

 

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Legal Paperwork

Beak n Wings, Inc.

 

9010 Rosehill Road Ste B.

Lenexa, KS 66215

 

Facility Hours

Monday-Friday by appointment

Saturday & Sunday                    1:00pm - 4:00pm​

Email: admin@beaknwings.org

Phone: 913-322-3398

(text, during the week)

Adoption email: adopt.bnw@gmail.com

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