Name (First AND last, please)
You must be 18 years old to fill out this application. |
|
| Street Address |
|
| Address (cont.) |
|
| City |
|
| State/Province |
|
| Zip/Postal Code |
|
| Country |
|
| Home Phone |
|
| E-mail |
|
| **We will not share your Email address with others, but we do communicate primarily through Email. Do you check your Email on a regular basis? |
Yes
No |
| Employer |
|
| Employer Phone |
|
| Today's Date |
|
| Employed |
Full Time
Part Time
Retired |
| Do you live in a |
House
Apartment
Condo
Mobile Home
Townhouse |
| Do you |
Own
Rent
Live with parent
Live with Relative |
| If you rent, we need your Landlord's name and we will need proof that you are allowed to have a large dog in the rental |
|
| Landlord Phone # |
|
| How long at address? |
|
| Do you have any objections to having your home inspected? |
Yes
No |
| Does anyone in your family have allergies? |
Yes
No |
| Are you an active military family? |
Yes
No |
| Do you plan on moving soon? |
Yes
No |
| If Yes to any of the above four questions, please explain |
|
| Under what circumstances would you not keep the Labrador (i.e. divorce, illness, new baby, new job, it eats the couch, you move)? |
|
| Household activity level |
Quiet
Active
Very Active |
| Do you have a local Veterinarian? |
Yes
No |
If yes, list Vet's name, clinic, and phone number. We will NOT process your application without the phone number being supplied.
If you are not currently using a vet (don't have any pets), please list the number and clinic of the LAST vet you used--we don't mind if it's out-of-state: |
|
| How long have you been looking for a dog? |
|
| What are your reasons for wanting a dog? Check all that apply: |
Companion
Guard Dog
To Breed
Gift
For Child
Playmate for Current Dog
Replace Previous Dog
Hunting
Other (please describe) |
| What would you prefer to adopt? |
Puppy
Young Adult Dog
Mature Dog (6+ years) |
| Breed Preference |
|
| Size Preference |
Small
Medium
Large
No Preference |
| Color Preference: |
|
| Gender preference: |
Male
Female
Either |
Please specify the dog(s) from the website that you're interested in adopting:
Keep in mind the dog(s) you list may already have several applications out on him/her or even an adoption pending. We try to update the website daily so always check the status of the dogs. You may need to hit refresh on the "Adoption Page" to see new info.. |
|
| Do you have any questions or reservations about spaying and neutering? : |
|
| Have you ever had a puppy before? |
Yes
No |
| Have you ever had a dog before? |
Yes
No |
| Why do you want a rescued Labrador? |
|
| How many hours a day will this dog be alone (without a human)? |
|
| 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? |
|
| Are you willing to take this dog to obedience/training classes? |
Yes
No |
| Who will be responsible or care and feeding of this dog? |
|
What 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? |
|
| 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 |
| Is your yard fenced? |
Yes
No |
| If yes, what type? |
Chain Link
Wood
Iron
other |
| What height is your fence? |
3 ft.
4 ft.
5 ft.
6 ft. |
| Will this dog ever ride in the back of a pick-up truck, loose? |
Yes
No |
| Will the Labrador be allowed to run free outside of fenced area off leash? |
Yes
No |
| Do you have any of the following: |
Doghouse
Outdoor Kennel
Adequate Outdoor Shelter
Dog Crate
Runner/Pulley System
Invisible Fence
Electric Fence (hot wire) |
| Have you ever sold, given away or put a pet in the shelter? If yes, why? |
No
Yes, because:
|
| Will you license this dog with the City (it costs $3 a year and is a city ordinance)? Most cities have this same ordinance. |
Yes
No |
| Please provide the following pet history for any pet you now own or have owned in the past 5 years. |
|
| Where did the last vaccines occur? |
|
| If your animal(s) are not spayed and/or neutered, please explain why? |
|
| 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: |
|
| Please list the ages of the people living in your household: |
|
| List two references not related to you, with their phone numbers: |
|
| How did you hear about us? |
|
| Any additional comments you'd like to add about your application or anything else?: |
|
| What is the best way to get a hold of you? May we call you at work? |
|
| Would you be interested in any of the following: |
Fostering Dogs for us
Transporting Dogs
Volunteering at adoption events (i.e. Petsmart)
|
| |
After you turn in your application, please email us in ~5 days to check on your status and so we know you're still interested. 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!! |
