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Lab & All Breed Rescue Network—L.A.B.R.N. Application for Adoption

Note: all fields marked with * are required to submit form

First and Last Name of All Adults Applying And Occupations *

Street Address *

City & State *

Zip Code *

Home Phone *

Work Phone

Cell Phone *

E-mail Address *

When is the best time to call? *

How did you hear about L.A.B.R.N.? *

Age range of dog you are interested in adopting: *

Please name the dog(s)that interest you on our site: *

Why are you interested in this particular pet? Please specify: *

Why do you want to adopt a dog? *

Would you consider a Special-Needs dog? *
Yes
No

Will you accept a mix breed or only a pure bred? *
Mixed
Pure
Either

Describe the activity level that best fits your household: *

If the dog(s) you are interested in are not available, are you looking to adopt a male, female or either? *
Male
Female
Either

What are the ages of all household members? *

Who will care for, train and exercise the dog? *

Does anyone in your household have allergies? *

May we visit your home prior to application approval?
Yes
No

Do you have any pets currently in your home now? Are they on heart worm preventative and have they received the vaccine for Kennel Cough? Please list ALL pets you currently own and answer the above question for all current dogs: *

Please list ALL PETS you have owned in the last 5 years.

If you owned a dog in the past what did you like the BEST about dog ownership? What did you like LEAST about dog ownership?

What breeds do you have familiarity with? *

Please provide the full name, address, and phone number of your current veterinarian(s) that you have used in the last 3 years. You will need to call your vet and give permission to release info to us. *

Please provide two personal references to be contacted in reference to your pet adoption *

Reference #1

Reference #2

If your current dog is the only dog how do you think it will respond to a new pet?

Have you ever introduced a new pet into your household before? *
Yes
No

If Yes please explain briefly how you went about it:

How long have you lived at your current address? *

Do you Own or Rent at your current address ? *

Own
Rent

If you rent do you have permission from your landlord? Please provide landlord's name and phone number:

On average how long will the dog be alone on a daily basis? *

Where will the dog stay when you are away from the house? (work, errands, Etc.) *

Are you familiar with the use of a dog crate to train your pet? Are you planning on using one? *

Please describe your yard/property (including fencing details): *

If you do not have a fence are you going to install one?
Yes
No

Will your dog be allowed to run free unattended? *

Have you ever taken a dog to obedience training? *
Yes
No

Are you willing to do so? *

Yes
No

Have you ever sold, given away or surrendered a pet to a shelter?

Yes
No

If yes please specify why *

Please tell us a little about your day to day life including any activities in which your dog would be included: *

Where will the dog go if you have to move? *

Do you understand the state and local ordinances concerning licensing and leashing? *

Please be advised that the majority of our dogs are not in New England currently. They are rescued in the South and are being fostered there until we can provide them a home in New England. The dog's bio will inform you of whether or not the dog is here in New England. We do not have a facility in NJ. Are you willing to adopt a dog without meeting it first?

Yes
No

Also if there is someone in the household with allergies or asthma are you willing to get a doctors statement that is ok for the pet to reside there? *

Yes
No

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 $325.00 for the adoption of a dog. I/we understand that this fee covers all shots, spay/neuter, heartworm tests, transportation costs, and some cases, a much needed grooming. The adoption fee also helps L.A.B.R.N. pay for food, collars, leashes and other necessities. Please be advised that owning a dog will require other expenses.

I have read the statement above and understand and agree. *
Yes
No

I have read the statement above and understand and agree. By my name in the fields below I acknowledge that it is the same as a handwritten signature. I may be asked to hand sign this form at a later date.

Applicant's Signature: *

Co-Application's Signature: