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

Lab Rescue OK, Inc.

Application Date *

MM / DD / YYYY

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

Name *

First Last

Partner/Spouse Name:
(or mark N/A if none) *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code

Additional Email

Phone *

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

Phone

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

Email *

Confirm Email

What are the "AGES" of ALL (including yourself) people living in your household? *

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

How soon are you looking to adopt a dog? *

Have you ever adopted from Lab Rescue OK before? *

If Yes, list the year and the Lab Rescue name of the dog.

Employer: *

Occupation: *

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. *

OK

Are Dogs Allowed by your Landlord?

Landlord Name:

Landlord Phone:

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

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) *

*PLEASE NOTE*: If an adoption occurs and you cannot fulfill the contract for ANY reason; we always take our dogs back into the program. *

I/We have the following dog handling experience: *

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: *

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)

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

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? *

Have you ever owned/raised a puppy before? *

Have you ever owned a Labrador Retriever before? *

What are you looking for in a dog?
(ie: Couch potato/laid back, active/fun, plays but then settles, etc.) *

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

What is your plan for exercising and potty breaks for this dog? *

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? *

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? *

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? *

Where will this dog be kept DURING THE DAY and 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? *

How large is your property? *

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

If yes, please explain when the dog will be allowed to run free outside of a fenced area off leash. Otherwise write NA. *

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

Yes

No

If yes, please explain when the dog will be allowed to ride loose in the back of a pick-up truck. If No, write NA. *

Do you have any of the following? *

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

Have you ever:
1) sold
2) given away
3) had a pet that died at a young age
4) surrendered a pet to a shelter

If yes, please explain the circumstances here, if not, please type N/A. *

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

Yes

No

No License Required

Name of CURRENT Veterinarian: *

CURRENT Vet Phone # *

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

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.

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

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

Do you keep all of your cats and dogs up-to-date on HEARTWORM/FLEA/TICK preventatives? *

Yes

No

If you DO NOT get your pet(s) VACCINATIONS and HEARTWORM/FLEA/TICK Prevention from your CURRENT vet listed below, please list the name and phone number of where you get them from here (if no pets for past 5 years mark or you buy from your vet mark N/A) *

We must have proof of all of your pet(s) vaccinations and heartworm/flea/tick prevention. Or you must provide written proof of them if we cannot verify it via 3rd party.

Name of HEARTWORM/FLEA/TICK Prevention you currently use: *

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 TYPE:

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

Pet #1 BREED:

Please provide Pet #1's Breed i.e. Labrador, Cocker Spaniel, Himalayan, etc.

Pet #1 GENDER:

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

Pet #1 AGE:

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

Pet #1 CURRENT LOCATION:

Where is this Pet currently located?

When did you get this pet? (month/year)

Pet #1 If deceased please list the date pet died

Date of death for pet

Has Pet #1 been Spayed/Neutered?

Yes

No

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 TYPE:

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

Pet #2 BREED:

Please provide Pet #2's Breed i.e. Labrador, Cocker Spaniel, Himalayan, etc.

Pet #2 AGE:

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

Pet #2 GENDER:

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?

Yes

No

Pet #2 CURRENT LOCATION:

Where is this Pet currently located?

When did you get this pet? (month/year)

Pet #2 If deceased please list the date pet died

Date of death for pet

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 TYPE:

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

Pet #3 BREED:

Please provide Pet #3's Breed i.e. Labrador, Cocker Spaniel, Himalayan, etc.

Pet #3 AGE:

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

Pet #3 GENDER:

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?

Yes

No

Pet #3 CURRENT LOCATION:

Where is this Pet currently located?

When did you get this pet? (month/year)

Pet #3 If deceased please list the date pet died

Date of death for pet

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 TYPE:

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

Pet #4 BREED:

Please provide Pet #4's Breed i.e. Labrador, Cocker Spaniel, Himalayan, etc.

Pet #4 AGE:

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

Pet #4 GENDER:

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?

Yes

No

Pet #4 CURRENT LOCATION:

Where is this Pet currently located?

When did you get this pet? (month/year)

Pet #4 If deceased please list the date pet died

Date of death for pet

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 TYPE:

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

Pet #5 BREED:

Please provide Pet #5's Breed i.e. Labrador, Cocker Spaniel, Himalayan, etc.

Pet #5 AGE:

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

Pet #5 GENDER:

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?

Yes

No

Pet #5 CURRENT LOCATION:

Where is this Pet currently located?

When did you get this pet? (month/year)

Pet #5 If deceased please list the date pet died

Date of death for pet

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

If your animal is unaltered due to AKC breeding rights or show dog; upload your title wins and AKC documents here:

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

Reference Name #1:
(someone who does NOT live in the home with you) *

First Last

We require 2 personal references for all applications

Reference #1 phone: *

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

Reference #1 email *

Relationship to applicant *

Reference Name #2:
(someone who does NOT live in the home with you) *

First Last

We require 2 personal references for all applications

Reference #2 phone: *

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

Reference #2 email *

Relationship to applicant *

After you turn in your application, You can check back with us by emailing us at info@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!!

ok

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

Application Donation ($10 suggestion)

$ Dollars . Cents