Adoption Application Thank you for choosing to adopt through Iridescence Cares.This application helps us match you with a pet that fits your home, lifestyle, and expectations.Please complete all required fields, and our team will follow up with next steps. First Name *Last Name *Email Address *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweDriver's License/ ID # *Household Information:Number of Adults in household *Number of Children & Ages:Do you rent or own your home? *SelectRentOwnLandlord's name & phone number:Type of Home *SelectHouseApartmentCondoOtherDo you have a fenced yard? *SelectYesNoPet Information:Type of Pet Desired *SelectCatDogOtherAge Preference *Kitten/PuppyAdultSeniorGender Preference *SelectMaleFemaleNo PreferenceWhich pet(s) are you interested in adopting? *Why do you want to adopt a pet? *List any pets currently in your household (species, age, spayed/neutered, vaccinated) *List any pets previously owned (species, what happened) *Current Veterinarian Name: *Clinic Name & Phone Number: *Who will be the primary caregiver for the pet? *How many hours per day will the pet be left alone?Where will the pet stay during the day? *Where will the pet stay at night? *If you move, what will you do with the pet? *References:Reference 1 Name, Relationship, & Phone #: *Reference 2 Name, Relationship, & Phone #: *Adoption Agreement *By typing my name below, I affirm that all information provided in this application is true and complete. I understand that Iridescence Cares may approve or deny any application at its discretion. If approved, I agree to provide appropriate care, shelter, food, water, and necessary medical attention for the adopted pet. I also agree not to sell, abandon, or surrender the pet to any shelter or organization without first notifying Iridescence Cares. My typed name serves as my electronic signature and indicates my agreement to these terms.I acknowledge and agree to the above statement. *DateSubmit