THE LABRADOR RETRIEVER CLUB OF THE PIONEER VALLEY
LABRADOR RESCUE ADOPTION APPLICATION
Name:
Address:
City:
State:
Phone:
Email:
Please Circle one:
We are interested in : Gender: ........Male.............Female........................No Preference
Color: .......Black................Yellow................Chocolate...........................No Preference
Age:..........Under 1..........1-3.........3-5............over 5
Energy level:..........High............Medium.............Couch Potato
How many members in your household?
Children:........................Ages:...................
Do you rent or own ?
If rent, Landlords name and telephone #:
****Renters require written proof of permission from landlord with application****
Do you have a yard?........................Is it fenced in:..........
If not, do you have a dog run or a kennel?
If you do not have adequate fencing (i.e. totally enclosed, secure fence) how will you exercise the dog?
Who will supervise these daily outdoor activities?................................. (this includes all times that the dog is outdoors.)
The Labrador Retriever needs daily exercise.
Does anyone in your household have allergies?.................
Please explain:
Do you have any other animals?....................................................Describe:
Have you ever owned a dog?..................................................................Describe:
Have you ever given up a dog?....................................................................Reason:
In detail, who will be responsible for caring for this animal?
Do you have a crate?..............................................................Will you be crating the dog?..............................
Where will the dog be kept in the day?
Where will the dog be kept at night?
How long a period of time do you plan to have the dog alone daily?
Where and how will the dog be kept when alone?
The Labrador is a companion dog. We will not adopt our Lab Rescue dogs to new homes who plan on keeping the dog outside away from the family. The Labrador is to be a member of the family.
Do you plan on taking this dog to obedience training?
Have you checked into the availability of dog training facilities in your area?
Please provide the name and telephone number of your vet:
Please provide the names and phone numbers of two references (i.e. neighbors, Veterinarians, Labrador Retriever Rescue members, etc.)
Reference #1
Reference #2
Please provide the best times and days of the week to contact you:
Is there any additional information that you would like us to know?
Adoption Conditions: ( Hold Harmless Waiver)
All adult dogs adopted through LRCPV Rescue are spay/neutered, heartworm tested, and vaccinated. We recommend an appointment with your own vet within the first 6 months of adoption for a health check. If you can no longer care for this dog, IT MUST BE RETURNED TO LRCPV RESCUE. Adoption donation is not refundable if dog is returned after the two week trial period.
THE LRCPV RESCUE IS NOT RESPONSIBLE FOR DAMAGE OR INJURY DONE BY DOGS ONCE AN OWNER TAKES POSSESSION AND OWNERSHIP OF THE ANIMAL FROM LRCPV RESCUE. THIS INCLUDES THE 2 WEEK TRIAL ADOPTION PERIOD AND THEREAFTER.
I ACKNOWLEDGE THAT ALL THE INFORMATION ON THIS APPLICATION IS TRUE AND CORRECT, I UNDERSTAND THAT ANY MISREPRESENTATION OF FACT MAY RESULT IN MY NOT BEING APPROVED TO ADOPT A LAB OR THE REMOVAL OF THE ADOPTED DOG FROM MY HOME BY LRCPV RESCUE.
LRCPV RESCUE RESERVES THE RIGHT TO REFUSE OR DENY ANY APPLICATION.
Applicant signature:
Date:
Co-applicant signature:
Date:
Please print and send completed form to:
LRCPV Rescue
P.O. Box 131
Middlefield, MA 01243
[email protected]
We want to say THANK YOU for being interested and taking the time to fill out this application. We most definitely will be in touch. We sometimes get overloaded with rescue labs and othertimes have a slow time. So please be patient, the right dog will come along for you. I do want you to know though, that we do seem to get more males in then females.
We always need help with Lab Rescue. If you think you can be of any help, please let us know. We always need Foster Homes, Transportation with the dogs, and help with being able to visit the shelters to either let us know of a Lab there, or to evaluate a Lab that has been brought in.