Relationship to Applicant
- Select - Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
How long have you lived at your present address?
Do you own or rent?
If living with parents, choose rent.
- Select - House Apartment Condo Town Home Mobile Home Other - please explain
Do you have a fenced yard?
If yes, what is the type and height?
Do you have children currently living at home?
If yes, what are their ages?
Do you currently own dog or dogs?
If yes, what breed(s), age(s), and gender(s)?
Is your dog(s) spayed or neutered?
Aside from current dogs, have you ever owned a dog(s) in the past?
If yes, what happened to the dog(s)?
Have you ever given away any of your pets?
Are your pets up-to-date on all their shots?
- Select - Yes No Not sure I don't currently own a dog
When were your pet(s) last at the vet and why?
Vet reference (clinic name)?
Vet phone number
Why do you want to own a rescue dog?
How soon would you like to adopt?
- None - Now 1 - 3 weeks 1 - 3 months 3 - 6 months 6+ months
How many hours will your dog be alone each day?
- None - 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 14 14.5 15 15.5 16 16.5 17 17.5 18 18.5 19 19.5 20 20.5 21 21.5 22 22.5 23 23.5 24 hours
Where will your dog be kept when you are not at home?
When you are home, where will the dog be kept?
Where will the dog sleep?
Where will the dog be when you are traveling?
What type of exercise do you plan on providing?
Are you willing to crate train?
Are you willing to attend obedience classes?
Are you willing to have a home interview?
Have you ever applied to other rescues?
If yes, which rescue(s) did you apply to and what are their websites?
Describe your ideal Lab (color, gender, age, temperament, etc.)
Are you willing to adopt a Lab mix?
How did you hear of us?
- None - Referral Search Engine Pet Finder.com Adopt-A-Pet.com Lucky Lab Website Facebook Attended Meet & Greet Event Car Bumper Magnet Other
If a referral, what is their name and phone number?
List a personal reference (name, phone number, and email)
Dogs you are interested in on our website