Application for Adoption

PERSONAL INFORMATION

Applicants and Co-applicants must be at least 18 years of age.
Please check the information you enter for accuracy; if there are errors in your phone number and e-mail address, we can’t contact you.

Applicant’s first and last name:
Age:	181920212223242526 272829303132333435363738 394041424344454647484950 515253545556575859606162 636465666768697071727374 757677787980818283848586 87888990
Phone Number:
Applicant’s E-mail:
Applicant’s Employer:
Position:
Work Phone:

Co-applicant’s first and last name:
Age:	181920212223242526 272829303132333435363738 394041424344454647484950 515253545556575859606162 636465666768697071727374 757677787980818283848586 87888990
Phone Number:
Applicant’s E-mail:
Applicant’s Employer:
Position:
Work Phone:
Co-applicant's relationship to applicant:	Spouse/PartnerParent/GuardianChildRoommateOther

Address:
City
State:
Zip Code:

Are you currently expecting a child?	YesNo
Are you considering having children within 10 years?	YesNoUndecided

Have you considered the full ramifications of taking a dog into your family for the rest of its life—through its illnesses and old age?  YesNo

Have you considered that having a dog through its lifetime might, over time, require changes to your life, including providing your dog with more frequent opportunities to eliminate, providing your dog with more padding in his/her bedding as old age sets in, or adjusting your routine to allow your dog to avoid stairs later in life?  YesNo

Please share your experience or questions pertaining to the last two questions:

Average number of days applicant is out of town for business and/or pleasure:  1-34-6> 6 per  weekmonthyear

Average number of days co-applicant is out of town for business and/or pleasure:  1-34-6> 6 per  weekmonthyear

HOUSEHOLD INFORMATION

Type of dwelling: HouseTownhouseApartmentCondo

Do you own or rent? OwnRent

If you rent, an executed copy of your full lease agreement must accompany your application. You may fax it to 703-991-4525.

If you rent, have you received permission from your landlord to have a dog? YesNo

If you rent, is there a weight limit on dogs in your rental property? YesNo
If yes, what is the limit? 

Is your yard fenced? YesNo
If yes, what kind of fence is it? Please include material and height: 
Are there any gaps or low areas in the fence? YesNo

List all residents of your household other than applicant and co-applicant:

Name	Age	Name	Age

If you have children, what is their experience with dogs? NALived withFrequentOccasonalNone Size of dogs: LargeMediumSmallNA

If you have children, how do you plan to prepare your children for the addition of a dog to their family?

Is anyone home during the day? YesNo  Who? 

How many hours per day will the dog be left without adult human supervision? 

GENERAL QUESTIONS

Has the applicant or co-applicant applied to adopt from Lab Rescue before? Applicant: YesNo Co-applicant: YesNo

If you have applied before, what was the outcome of your application? AdoptedApproved but didn't adoptNever interviewedNot approved

If you adopted through Lab Rescue before, what was the dog’s Lab Rescue name? 
Date of adoption: 
Name of your adoption coordinator: 

Who will be responsible for the dog? 

Why do you want a dog? (Please check all that apply.)
Companion
Guard dog
To breed
Personal protection
For child(ren)
Other (Please specify: )

Why do you want a Labrador Retriever?

All dogs adopted from Lab Rescue will be spayed or neutered. Do you have any reservations or questions about this? YesNo
If yes, explain: 

Where will the dog be kept during the day? (Please be specific.)  

Where will the dog sleep at night? (Please be specific.)  

Plans for crate use: No crate  Reluctant to crate  Crate if necessary  Temporarily crate  Permanently crate

How much do you think it will cost to take care of your dog each year (food, vet care, license, toys, supplies, training)?  

How will your dog be cared for when the responsible persons are out of town?  

If you move, what will you do with your pet?  

PET CARE EXPERIENCE

Have you ever owned a dog before? YesNo
Have you ever housetrained a dog before?  YesNo
Have you ever cratetrained a dog? YesNo
Have you ever obedience trained a dog before? YesNo

If you answered yes to any of the above, was your experience as an adult, as a child, or both?

If you have trained a dog before, did you do so on your own or with a professional trainer? On my ownWith professionalBoth

Please list all pets (not just dogs) that you have owned in the past five (5) years:

Species	Sex	Age	Altered?	Current location
	MaleFemaleUnknown		YesNo
	MaleFemaleUnknown		YesNo
	MaleFemaleUnknown		YesNo
	MaleFemaleUnknown		YesNo
	MaleFemaleUnknown		YesNo

Have you ever had a pet die at an early age due to an accident? YesNo. If yes. please give details:

Have you ever given a pet away or turned a pet over to a shelter or rescue group? (This includes animals adopted from and then returned to a shelter or rescue group.) YesNo If yes, please give details:

If you saw your dog doing something she or he shouldn’t (peeing on the rug, getting into the trash, chewing the cable remote), how would you respond?

Have you read any books or magazines on dog behavior and training? YesNo If yes, what books or magazines have you read most recently?

How do you plan to exercise your Lab?

Do you live near a dog park? YesNo If so, would you use it for your dog?  YesNo

How will all of your Lab’s outdoor activities be supervised?

CHARACTERISTICS OF LABRADOR RETRIEVER YOU HOPE TO ADOPT

Sex: No preferenceMale preferredFemale preferredMale requiredFemale required

Color:
The choices indicate my preference or a requirement. I have no color preference.
Black
Yellow
Chocolate

Age:
The choice indicates a preference or a requirement. I have no age preference.
Would you consider adopting a dog over the age of 3 years? YesNo Over the age of 5 years? YesNo

Energy Level:
High (dog will need plenty of aerobic exercise daily such as jogging, swimming, dog-dog play, or retrieving)
Moderate (dog will need at least two walks daily plus some play indoors or in a fenced yard)
Couch potato (dog will be happy with a couple of leisurely strolls or visits to a fenced yard daily)

The energy level choices indicate my preference or a requirement.

Please note that it is rare to find a Labrador retriever who is a couch potato unless he or she is beyond middle age. Healthy adult dogs should have at least 30 minutes of aerobic activity daily, but many Labs require more than that.

Please tell us if there are any other qualities that you are looking for in your Lab:

REFERENCES

Please provide the names and phone numbers of two references. (Neighbors, vets, Lab Rescue volunteers, etc.)

Name:
Phone number:

Name:
Phone number:

How did you hear about Lab Rescue of Greater Richmond?

If you have additional information to add to this application, please enter it here:

Before submitting your application, please review our adoption process. (This PDF document will open in a new window.)
I have read the adoption process and   I agree   I do not agree   to comply with the adoption process.

Before submitting your application, please print it so that you have a permanent record. If you attend an adoption day before you have been contacted by an adoption coordinator, you will need to bring a printed copy of your application.

By submitting this electronic application, I acknowledge that all the information on this form is true and correct. I understand that any misrepresentation of fact may result in the removal of the adopted dog from my home by Lab Rescue. YesNo