Potcake Rescue Bahamas

Full Name

Street Address

City

ZIP

Country

Email:

Phone no:

Name of dog/Puppy you are interested in:

1) Do you rent or own your home you currently live in?

Rent
Own

2) If you rent, how long have you been living here?

less than 1 year
1 to 5 years
5 to 10 years
over 10 years

3) If you rent you need the Landlords approval. pls enter full Name and Phone or email address.

4) Have you owned a pet before?

yes
no

4a) If yes, what happend to the Pet?

5) Do you have currently any pets living with you?

yes
no

6) If yes describe the pets currently living with you.

7) Why do you want to adopt this pet?

8) If you have other pets, are they up to date with their vaccinations?

yes
no

9) If you do have already a vet pls provide name and phone or email address.

10) Have you had a pet and gave it away?

yes
no

11) If yes, why?

12) Could this be a problem again?

yes
no
not sure

13) How many children live in your home?

none
1
2
3
4 or more

13) What age are the children?

0 - 4
5 - 8
9 - 13
14+

14) Do children regularly frequent your home?

yes
no

15) Will your pet live indoors or outdoors or a combination of both?

Indoors only
Mostly indoors
a combination of both
mostly outdoors
outdoors only

16) Where will the pet sleep?

17) Who will care for your pet when you go away?

18) On a regular basis, how long will the pet be left alone?

0 - 2 hours
2 - 4 hours
4 - 8 hours
8 - 12 hours
12+

19) Do you live in a House or Apartment?

House
Apartment

20) Do you have a secure fenced yard?

yes
no

21) Pls describe the area your pet will live in, indoors and or outdoors?

22) What provisions will you make if you cannot longer care for this pet?

23) Have you ever had a puppy before?

yes
no

24) Are you willing to allow the new pet several weeks to adjust to you and your family and other pets in the household?

yes
no
not sure

25) What do you know about this kind of dog? Potcakes? Dominican Dogs called "Viralata" (Trash can dippers)

26) Dogs sometimes need training (housetraining, leash training, not to jump etc.) Will you be able and willing to handle this?

yes
no

27) Frequently you will encounter, specially with puppies, behaviour problems like, chewing, digging, jumping etc. How will you deal with it?

28) Will you be able to afford food, vet care and grooming?

yes
no
not sure

29) Will you maintain a schedule for following? pls check what apply

flea & tick control
grooming eg. bathing
brushing
professional groomer

Additional Comments: