Adoption Application Form Step 1 of 5 20% You must meet all these criteria to adopt.* I have reviewed the adoption fees. If I cannot keep the dog, I will contact Potcake Project to assist in rehoming or returning the dog. I have never been convicted of animal abuse. I understand that Potcake Project has limited information about a dog's background. I understand that Potcake Project does not, generally, have exact breed information about its dogs. I understand that a rescue dog may require professional training or unexpected medical services. Potcake Project must be contacted for any problems during the initial transition for help. Potcake Project will not be responsible for reimbursement of any expenses without prior consent. Attention Current Pet Owners: Your current dogs and cats must be spayed or neutered and up-to-date on shots. Proof of vet verification is required. Name of the dog you would like to adoptFull Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Primary Phone NumberAlternate Phone NumberWhat is the best time to call you?Spouse/Partner's NameOther Household MembersPlease include names and ages.How did you hear about us?Google, Craigslist, Petfinder, etc.How soon do you want to adopt? Are you at least 21 years old?*YesNoDo you rent or own your home?*RentOwnLandlord's NameLandlord's Phone NumberWhat are the dog weight and breed restrictions? Please provide a website or description of pet restrictions.Ho will your rental costs increase by having a pet? Pet Deposits and Rent Increases Your New DogWhat dogs are you interested in?Describe the type of dog you want to adopt. Please include the two traits that are most important to you. Age, Weight, Activity Level, etc.Why do you want to make this dog part of your family and how will you incorporate the dog into your excising family? How will your dog get exercise? Describe the yard, nearby parks and family activities.Where will your dog stay when you're away from home?In a crateIn a limited area of the homeFree range of homeOutsideWhat will be the maximum length of time your dog will be left home along?1 Hour2 Hours3 Hours4 Hours5 Hours6 Hours7 Hours8 Hours9 Hours10 Hours11 Hours12 Hours13 Hours14 HoursWhat are your plans for taking care of the dog while you are on vacation? Are you willing to seek professional training for any pet behavior issues? (Why/Why Not?) What would cause you to surrender or give up your dog? Moving, aggressions towards children, adults or other pets, having a baby, etc.Have you ever surrendered, sold or given away one of your pets? This includes giving a pet to a friend or family member. If so, please explain in detailHave you owned any dogs or cats now or in the past 10 years?YesNo Please identify all dogs or cats you have owned over the past 10 years and where they are now. Include name, age and breedAre all your dogs/cats spayed/neutered?YesNoIf no, please explain why. Are all your pets up-to-date on routine vaccinations?YesNoIf no, please explain why. Please provide the name and number of a veterinarian who has seen these pets.Veterinarian Information Include names, phone numbers IMPORTANT! Call your vet and give permission to release your pet records to Potcake Project. ReferencesIMPORTANT! Please provide three references. These references can not be related by blood or marriage to anyone living in your household.Reference #1Name First Last PhoneEmail What is the nature of your relationship?What is the best time for us to call them?Reference #2Name First Last PhoneEmail What is the nature of your relationship?What is the best time for us to call them?Reference #3Name First Last PhoneEmail What is the nature of your relationship?What is the best time for us to call them?