Lucky Lab Rescue and Adoption

Lucky Lab Rescue Adoption Application Form
This form must be completed to be considered for adoption. After completing the form,click on the SUBMIT button.

Applicant Name:

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Occupation:

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Co-Applicant:

Occupation:

Relationship to Applicant:

Address:

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City, State, Zip:

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Home Phone:

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Cell Phone:

Work Phone:

E-Mail:

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How long have you lived at your present address?

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Do you own or rent?

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Your residence is a:

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If other, please explain:

Do you have a fenced yard?

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If yes, what is the type and height?

Do you have children currently living at home?

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If yes, what are their ages?

Do you currently own a dog(s)?

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If yes, what breed(s), age(s), and gender(s)?

Is your dog(s) spayed or neutered?

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Aside from current dogs, have you ever owned a dog(s) in the past?

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If yes, what happened to the dog(s)?

Do you have any cats?

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Any other animals?

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Have you ever given away any of your pets?

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If yes, please explain:

Are your pets up-to-date on all their shots?:

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If no, why not?

When were your pet(s) last at the vet and why?

Vet reference (clinic name)?

Vet address?

Vet phone number?

Are you looking for a:

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Why do you want to own a rescue dog?

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How soon would you like to adopt?

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How many hours will your dog be alone each day?

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Where will your dog be kept when you are not at home?

Loose Indoors
Loose Outdoors
Crate Indoors
Fenced Yard
Outside Kennel Run
Basement
Tied Outside
Garage
Other

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If other, please explain:

When you are home, where will the dog be kept?

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Where will the dog sleep?

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How often do you travel?

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Where will the dog be when you are traveling?

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What type of exercise do you plan on providing?

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Are you willing to crate train?

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Are you willing to attend obedience classes?

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Are you willing to have a home interview?

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Have you ever applied to other rescues?

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If yes, which rescue(s) did you apply to and what are their websites?

Did you adopt from them?

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If no, why?

Describe your ideal Lab (color, gender, age, temperament, etc.):

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Are you willing to adopt a Lab mix?

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How did you hear of us?

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If a referral, what is their name and phone number?

List a personal reference (name, phone number, and email):

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Dogs you are interested in on our website:

Notes / Comments:

*If form does not send, please fill in all required fields indicated in red.