Adoption Application Form After completing the application form, please click on the SUBMIT button. * indicates required fields    *Applicant Name (first & last):   *Occupation:   Co-applicant Name (first & last):   Occupation:   *Address:   *City, State, Zip:   *Home Phone:   Cell Phone:   Work Phone:   *E-mail:   *How long have you lived at your present address?:   *Do you own or rent?:  Own  Rent   *Your residence is a: House Apartment Condo Townhome Mobile home Other   If other, please explain?:   *Do you have a fenced yard?:  Yes  No   If yes, type & height: of fence:   *Do you have children currently living at home?:  Yes  No   If yes, what are their ages?:   *Are you looking for a::  Housedog  Outside Dog   *Why do you want to own a rescue dog?:   *How soon would you like to adopt?:  Now  2-4 weeks  1-3 months  6+ months   *Have you ever owned a dog before?:  Yes  No   If so, what happened to the dog?:   *Have you ever given away any of your pets?:  Yes  No   If yes, please explain?:   *Do you currently own a dog(s)?:  Yes  No   If so, what breed(s)?:   Age(s)?:   Gender(s)?:  Male  Female  Both   *Is you dog(s) spayed and/or neutered?:  Yes  No  Do not currently own a dog   *Are these pets all up to date on shots?:  Yes  No  Not sure  Do not currently own a dog   If no, why not?:   When was your pet(s) last to the Vet & why?:   *Do you have any cats?:  No  Yes   *Any other animals?:   *Vet reference (Clinic, address, phone):   *How many hours will your dog be alone per day?:   *Where will your dog be kept when you are not home?:  Loose indoors  Loose outdoors  Crate indoors  Fenced yard  Outdoor kennel run  Basement  Tied outside  Garage  Other   If other, please explain:   *When you are home, where will the dog be kept?:   *Where would the dog sleep?:   *How often do you travel?:   *Where will the dog be when traveling?:   *What type of exercise do you plan on providing?:   *Are you willing to crate train?:  Yes  No  Maybe   *Are you willing to attend obedience classes?:  Yes  No  Maybe   *Are you willing to have a home interview?:  Yes  No  Unsure   *Have you ever applied to other rescues?:  Yes  No   Which rescue & their website address:   Did you adopt from them?:  Yes  No   If not, why?:   *Describe your ideal Lab (color, gender, age, etc..:   *Would you be willing to adopt a Lab mix?:  Yes  No  Maybe   *How did you hear about us?: Petfinder.com Referral Adopt-a-Pet.com Attended a meet & greet event Search engine Car bumper magnet Lucky Lab website Other   If a referral, please list name and phone #:   *List a personal reference (name, phone, email):   Dogs you are interested in on our website:   Notes/comments: After completing the application form, please click on the SUBMIT button.

Site Map