Name
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First Name
Last Name
Street Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone
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(###)
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Work Phone
(###)
###
####
Cell Phone
(###)
###
####
Co-Applicant
First Name
Last Name
Relationship to Co-Applicant
What is your household's general noise and activity level?
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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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Residence type
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House
Apartment
Condo
Town Home
Mobile Home
Other — please explain
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 a doggy door?
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Do you currently own a dog or dogs?
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If yes, please list name(s), breed(s), age(s), and gender(s), as well as, how long you have owned them.
Is your dog(s) spayed or neutered? If not, why?
Aside from current dogs, have you ever owned a dog(s) in the past? If yes, what happened to the dog(s)?
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Do you currently have any cats?
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Do you currently have any other animals?
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Have you ever given away any of your pets? If yes, please explain.
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Are your pets up-to-date on all their shots?
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Yes
No
Not sure
I don't currently own a dog
If not, please explain.
When were your pet(s) last at the vet and why?
Please provide the name, address and telephone number of ALL veterinarians that you have used, for any pets that you have owned in the last 5 years. Be sure to specify the person's name under which the records are listed and the dates of service. (We will call for a reference.)
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Have you had a dog in the past with a medical condition? If so, how did you handle it?
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Have you had a dog in the past with behavioral issues? If so, how did you handle it?
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Why do you want to own a rescue dog?
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Are you looking for a...
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How soon would you like to adopt?
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Now
1 - 3 weeks
1 - 3 months
3 - 6 months
6+ months
How many hours will your dog be alone each day?
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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
How many hours a day will you exercise your dog? Please explain in detail.
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When you are not at home, where will the dog be kept?
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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?
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?
If no, why not?
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 about us?
-None-
Referral
Search Engine
Pet Finder.com
Adopt-A-Pet.com
Lucky Lab Rescue Website
Facebook
Attended Meet & Greet Event
Car Bumper Magnet
Other
If a referral, what is their name and phone number?
If the dog you adopt develops an expensive medical condition, what will you do?
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If the dog you adopt develops behavioral challenges, what will you do?
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Please list dogs you are interested in on our website
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Are you open to adopting another dog, in the event the one you are interested in is already adopted, or is not the best fit?
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Under what conditions would you consider returning your dog to the rescue?
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Please list 2 personal references (name, phone number, and email)
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Note / Comments
By submitting this application, you understand that Lucky Lab may conduct background checks, including contacting your personal references and your current/former veterinarian(s), in order to determine whether you qualify for adopting. Please be on the lookout for an email regarding your application. Be aware that some emails may end up in your spam/junk folder. Thank you!
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I understand
