1. First and Last Name of All Adults Applying
2. Full Street Address
3. P.O. Box, Apt, Suite or Unit #
4. City
5. State
5b. Zip
6. Home Phone
7. Work Phone
8. Cell Phone
9. E-mail
10. When is the best time to call and please refer to What number is best to reach you on. Home/Cell/Work
11. How did you hear about American Lab Rescue?
Please select one
Petfinder
Website
Friend
Prior Adopter*
* If you were a prior adopter of American Lab Rescue, who did you adopt and approx when?
12. Age range of dog you are interested in adopting?
Please select one
Baby
Young
Adult
Senior
13. Please name the dog(s) that interest you on our site.
14. Why are you interested in this particular pet? Please specify.
15. Why do you want to adopt a rescue dog?
16. Would you consider a special-needs dog?
Please select one
yes
no
17. Will you accept a mix breed or only a pure bred?
Please select one
Mix Breed Okay
Only a Pure Bred
Either is Fine
18. Describe the activity level that best fits your household.
Please select one
quiet
some activity
active
very active
19. Please describe your daily activities.
20. If the dog(s) you are interested in are not available, are you looking to adopt a male, female or either?
Please select one
male
female
either
21. What are the ages of all household members, currently living at the address above?
22. Who will care for, train and exercise the dog?
23. Does anyone in your household have allergies?
Please select one
yes
no
Please be advised that home visits are mandatory prior to approving the adoption of one of our rescue dogs. All members of the household are required to to be available for the home visit.
24. May we visit your home prior to application approval?
Please select one
yes
no
25. Do you have any pets currently in your home now?
Please select one
yes
no
26. Are they on year-round heart worm preventative (monthly tablets)?
Please select one
yes
no
27. Are they current on all vaccines? Rabies, Parvo, Distemper and Bordetella (ie: Kennel Cough)
Please select one
yes
no
28. Please list ALL pets you currently own and answer the above questions for all current dogs.
29. Please list ALL PETS you have owned in the last 5 years.
30. If you owned a dog in the past, what did you like BEST about dog ownership?
31. What did you like LEAST about dog ownership?
32. What breeds do you have familiarity with?
We do a vet check on all potential adopters. Please note that you will need to contact your vet and give permission to release info to us.
33. Please provide the full name, address, and phone number of your current veterinarian(s) that you have used the last 5 years. IMPORTANT: Please call your vet and let them know you will be applying to rescue dog and give permission for information to be released to American Lab Rescue about your current or past pets health status.
Veterinarian's Practice Name
Vet's Name
Vet's Address
Vet's City/Town
Vets Phone Number
34. If your current dog is the only dog how do you think it will respond to a new pet?
35. Have you ever introduced a new pet into your household before?
Please select one
yes
no
36. Please explain briefly how you went about it.
37. How long have you lived at your current address?
38. Do you Own or Rent at your current address?
Please select one
rent
own
39. If you rent, do you have permission from your landlord?
Please select one
yes
no
40. Is there a pet size/weight limitation in your rental or lease agreement?
Please select one
yes
no
41. If yes, please note how large a dog your are allowed?
42. Please provide landlord name and phone number.
43. On average how long will the dog be alone on a daily basis?
44. Where will the dog stay when you are away from the house?
45. Are you familiar with the use of a dog crate to train your pet?
Please select one
yes
no
46. Are you planning on using one?
Please select one
yes
no
47. Please describe your yard/property (size of lot, etc.)
BE ADVISED THAT DUE TO EITHER ACTIVITY LEVELS, BREED/MIX OF THE RESCUE DOG OR SPECIFIC REQUIREMENTS FROM THE RESCUER, MOST OF OUR DOGS WILL REQUIRE FENCED YARDS.
48. Is your yard fenced?
Please select one
yes
no
49. If so, please choose current fencing.
Please select one
picket
stockade
chain link
electric
wireless
other
49a. Please describe your fencing (including height and length of fenced area)?
50. If you do not have a fence are you going to install one?
Please select one
yes
no
51. Will your dog be allowed to run free unattended?
Please select one
yes
no
52. Have you ever taken a dog to obedience training?
yes
no
Please select one
53. Have you ever sold, given away or surrendered a pet to a shelter? If yes please specify why:
54. Please tell us a little about your day to day life including any activities in which your dog would be included.
55. Where will the dog go if you have to move?
56. Do you understand the state and local ordinances concerning licensing and leashing?
Please select one
yes
no
Please be advised that some of our dogs are currently not being fostered in the Northeast. The dog's bio should note if he or she is being fostered locally.
57. Are you willing to adopt a dog without meeting it first?
Please select one
yes
no
58. Finally, is there anything else you would like us to know about your application?
By clicking the SUBMIT button below, I/we attest that the information given on this application is true and accurate to the best of my/our knowledge.
I/we understand that completion and submission of this application does not guarantee adoption of a pet. I/we agree to pay the non-refundable adoption fee of $399.00 if we decide to/are accepted to adopt a dog.
I/we understand that this fee covers shots, spay/neuter, heartworm tests and transportation costs.
I have read the statement above and understand and agree
Select One
Yes
No
Applicant's Signature:
Co-Application's Signature:
