EmailMe Form - Lab Rescue OK, Inc. Application to ADOPT

Lab Rescue OK, Inc.

Application Date *

MM / DD / YYYY

Please Specify Which dog(s) you are Applying to Adopt?: *

Name *

First Last

Name

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Phone

### - ### - ####

Email *

Email

Are all parties living in this residence IN AGREEMENT with adopting a dog? *

Employer: *

Employer Phone:

### - ### - ####

Employed: *

I/We Live in a: *

Home is: *

PLEASE NOTE: If you are a RENTER, applications WILL NOT be processed if you do not give us the name and phone number of your Landlord or Property Management company. *

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Landlord Name:

Landlord Phone:

### - ### - ####

Are Dogs Allowed by your Landlord?

Please list the "AGES" of ALL people living in your household (including yourself): *

How many years have you lived at this address? *

Do you Object to a Home Inspection?: *

*PLEASE NOTE*: ALL Family Members and Animals in the prospective home must meet the adoptable dog before adoption is finalized. (exceptions to this policy will be made on a case by case basis) *

Have you ever adopted from Lab Rescue OK before? *

Are you or anyone in your home allergic to dogs? *

Are you an active Military Family? *

Do you plan on Moving soon? *

What is your household activity level? *

Describe the typical day in the life of your dog: *

(ie: divorce, moving, new baby, eats the couch, etc)

Under what circumstances would you NOT keep the Labrador you adopted? (check all that apply) *

EXPLANATION for why you NOT keep the Labrador (from above): *

(ie: divorce, moving, new baby, eats the couch, etc)

Have you called your vet's office to allow them to release information to us? *

Not Authorizing for information to be given will delay application process.

Name of Veterinarian: *

Vet Phone # *

### - ### - ####

If you do not have a current vet, please list the Name and Phone number of the last vet you used here:

How long have you been looking for a dog? *

How soon are you looking to adopt a dog? *

What are your reasons for wanting a dog? Check all that apply. *

Why do you want a Rescued Dog? *

What Age would you prefer to adopt? *

Puppy

Young Dog

Adult Dog

Senior Dog

What size do you prefer? *

50 lbs or under

50lbs - 80lbs

80lbs and over

What color do you prefer? *

What Gender do you prefer? *

Do you have any reservations about Spaying or Neutering? *

Have you ever had a puppy before? *

Have you ever owned a Labrador Retriever before? *

How many hours a day will the dog be alone? *

If dog is alone for an excess of 6 hours per day, what is your plan for exercising and potty breaks? *

Are you willing to take this dog to obedience/training classes? *

Do you already have a Dog Trainer, Dog training Facility or Behaviorist that you currently use? *

Do you need a list of Contacts For Dog Training or Behaviorists in your area? *

Labradors have been known to chew/claw furniture, carpets, shoes, dig, bark, and be mischievous in all sorts of inventive ways.

How do you plan to handle behavior and obedience problems? *

Who will be responsible or care and feeding of this dog? *

What Brand of Dog food or dog meal plan do you plan to feed this dog? *

(By this we mean what brand of dog food. Be specific.)

What arrangements would you make for this pet when you travel? *

What is your contingency plan for your pets should you become incapacitated or should they out live you? *

How will you exercise this dog? *

Where will this dog be kept DURING THE DAY? *

(be specific--do not put "at home" but say where exactly)

Where will this dog be kept at NIGHT? *

(be specific--do not put "at home" but say where exactly)

Do you have a pool?

Yes

No

Planning on getting one

Is your yard fenced? *

What is the height of your fence? *

What type of Fence do you have? *

Will the Labrador be allowed to run free outside of fenced area off leash? *

Will this dog ever ride in the back of a pick-up truck, loose? *

Yes

No

Do you have any of the following? *

What type of outdoor accomodations do you have for your dog (above)?

Have you ever sold, given away or put a pet in the shelter? If yes, why? *

Yes

No

Describe Why Here:

Do you agree to keep this dog Licensed, if applicable? *

Yes

No

No License Required

Do you keep all of your pet(s) vaccinations up to date/current? *

Yes

No

If you DO NOT keep your pets up-to-date on vaccinations, why? (describe why here)

Do you keep all of your cats and dogs up-to-date on heartworm preventative? *

Yes

No

If you DO NOT keep your pets up-to-date on heartworm preventatives, why? (describe why here)

Pet #1 NAME:
(currently or previously owned)

Please provide Pet #1's Name that you have owned or have previously owned in the past FIVE years

Pet #1 BREED:
(currently or previously owned)

Please provide Pet #1's Breed Whether it be a cat or dog or other animal.

Pet #1 GENDER:
(currently or previously owned)

Please select the age of your pet that you now own or have owned within the last FIVE years

Pet #1 AGE:
(currently or previously owned)

Please select the age of your pet that you now own or have owned within the last FIVE years

Pet #1 CURRENT LOCATION:
(currently or previously owned)

Where is this Pet currently located?

Pet #2 NAME:
(currently or previously owned)

Please provide Pet #2's Name that you have owned or have previously owned in the past FIVE years

Pet #2 BREED:

Please provide Pet #2's Breed Whether it be a cat or dog or other animal.

Pet #2 AGE:
(currently or previously owned)

Please select the age of your pet that you now own or have owned within the last FIVE years

Pet #2 GENDER:
(currently or previously owned)

Please select the GENDER of your pet that you now own or have owned within the last FIVE years

Has Pet #2 been Spayed/Neutered?
(currently or previously owned)

Yes

No

Pet #2 CURRENT LOCATION:
(currently or previously owned)

Where is this Pet currently located?

Pet #3 NAME:
(currently or previously owned)

Please provide Pet #3's Name that you have owned or have previously owned in the past FIVE years

Pet #3 BREED:
(currently or previously owned)

Please provide Pet #3's Breed Whether it be a cat or dog or other animal.

Pet #3 AGE:
(currently or previously owned)

Please select the age of your pet that you now own or have owned within the last FIVE years

Pet #3 GENDER:
(currently or previously owned)

Please select the GENDER of your pet that you now own or have owned within the last FIVE years

Has Pet #3 been Spayed/Neutered?
(currently or previously owned)

Yes

No

Pet #3 CURRENT LOCATION:
(currently or previously owned)

Where is this Pet currently located?

Pet #4 NAME:
(currently or previously owned)

Please provide Pet #1's Name that you have owned or have previously owned in the past FIVE years

Pet #4 BREED:
(currently or previously owned)

Please provide Pet #4's Breed Whether it be a cat or dog or other animal.

Pet #4 AGE:
(currently or previously owned)

Please select the age of your pet that you now own or have owned within the last FIVE years

Pet #4 GENDER:
(currently or previously owned)

Please select the GENDER of your pet that you now own or have owned within the last FIVE years

Has Pet #4 been Spayed/Neutered?
(currently or previously owned)

Yes

No

Pet #4 CURRENT LOCATION:
(currently or previously owned)

Where is this Pet currently located?

Pet #5 NAME:
(currently or previously owned)

Please provide Pet #5's Name that you have owned or have previously owned in the past FIVE years

Pet #5 BREED:
(currently or previously owned)

Please provide Pet #5's Breed Whether it be a cat or dog or other animal.

Pet #5 AGE:
(currently or previously owned)

Please select the age of your pet that you now own or have owned within the last FIVE years

Pet #5 GENDER:
(currently or previously owned)

Please select the GENDER of your pet that you now own or have owned within the last FIVE years

Has Pet #5 been Spayed/Neutered?
(currently or previously owned)

Yes

No

Pet #5 CURRENT LOCATION:

Where is this Pet currently located?

If your animal(s) are not or were not spayed and/or neutered, please explain why? *

When and Where did the pet(s) listed above received their last Vaccines? *

If you had a pet that died at a young age or you got rid of a pet after owning it a short time, please explain the circumstances, if not applicable, please type N/A. *

Please List two references with their PHONE numbers: *

How did you find us?

Internet Search

Facebook

Referral

Other

Any additional comments you'd like to add about your application or anything else?

After you turn in your application, You can check back with us by emailing us at other@labrescue.net.

Please notify us if you get a dog elsewhere so we can move on to other applicants. We are a SMALL organization, so we appreciate your patience and cooperation!! Thanks!!

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Would you be interested in helping us in any of the following areas (check all that apply):

Application Donation ($10 suggestion)

$ Dollars . Cents