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 *

Confirm Email

Additional Email

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.

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. *

OK

Are Dogs Allowed by your Landlord?

Landlord Name:

Landlord Phone:

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

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

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)

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

Yes

No

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

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.

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 CURRENT Veterinarian: *

CURRENT Vet Phone # *

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

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

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? *

(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? *

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

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?

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?

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?

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?

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?

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: *

First Last

We require 2 personal references for all applications

Reference #1 phone: *

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

Reference #1 email *

Reference Name #2: *

First Last

We require 2 personal references for all applications

Reference #2 phone: *

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

Reference #2 email *

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):

How did you hear about Lab Rescue OK, Inc.?
(check all that apply)

If other, please let us know where.

Application Donation ($10 suggestion)

$ Dollars . Cents