Email

Name

Spouse/Partner/Housemate Name

Street Address

City

State

Zip Code

Home Telephone
(Include area code)

Work Telephone
(Include area code)

When is the best time to reach you?

How many adults in the home?  1 2 3 4 5 6

Do all adults work outside the home?   Yes No

What is the occupation(s) of adult(s) in the home?

How many children live in the home?   0 1 2 3 4 5 6

Please give the ages and gender of all children in the home:

Are all family members (or roommates) in agreement about adding a new pet to your family?   Yes No Not Sure

What type of residence do you live in?  Single Family House Apartment/Duplex Townhouse/Condominium Mobile Home in a MH Park Military Housing

Do you:  Own Rent/Lease

Does your landlord allow pets?  N/A Not Sure Yes No

Does your landlord have a weight/size/breed restriction on dogs?  N/A Not Sure Yes No

Landlord's name/phone number:
(Required if you rent/lease! Attach a copy of your lease company's pet policy)

How long have you lived at your current address?

If less than one year, please list previous address?
(Required)

Does anyone in your family have allergies to animals?  Yes No

If yes, please explain.

Please tell us what you feel being a responsible dog owner entails.

Under what conditions would you consider giving up a dog you own?

Who will be responsible for the care of the lab you adopt?

Have you ever owned a Labrador Retriever?  Yes No

If no, do you feel you are truly familiar with the breed?  Yes No

If you have not owned labs previously, what kind of research have you done into the Labrador Retriever breed?

Why have you chosen to adopt a rescued lab?

Where will your lab primarily live?   Indoors Outdoors

What is the average number of hours your lab will be left alone (without people) at a time?

Tell us where you will keep your lab while it is home alone.
(Run of the house, in a crate, garage, basement, tied out, fenced yard, dog lot, etc.)

Tell us where your lab will sleep at night. Be specific.

Tell us how/when/where you will exercise your lab on an average day. Be specific.

Do you have a fenced yard?  Yes No

If fenced, what type of fencing is it?
(Chain link, board, picket, dog wire, electronic/invisible, etc.)

If fenced, what is the fence height?

If not fenced, how & where will you "potty" your lab?

Would you be willing to take your new lab to basic obedience classes if we felt
the lab (and therefore you) would greatly benefit from such classes?  Yes No Not Sure

If no/not sure, please tell us why.

How far are you willing to travel to meet a prospective lab?

If you are interested in one of the labs listed on our "Available Dogs" page,
please tell us which one. (Name and/or description)

What color lab do you prefer?   No Preference Black Chocolate Yellow

Would you consider another color if the lab is a good match otherwise?   Yes No

Which gender do you prefer   No Preference Male Female

Would you consider the opposite gender if it was a good match otherwise?   Yes No

What age range do you prefer?
(Youngest to oldest that you would consider adopting)

Do you currently own another dog/s?  Yes No

If yes, please list breed/age/sex.

Please list any other pets you currently own. Include what type, age, sex.

If you currently own a dog(s) and/or cat(s) are they:
Spayed/Neutered? Current on vaccines?
Dog(s) currently on heartworm preventive?

If no on any of the above 3, please explain why.

Please give your current/previous Vet clinic name, address AND telephone number. (Required)

Please list previous dogs you have owned, as well as why you no longer have them.

Please list three references, their complete addresses, phone numbers, and email addresses.
(Email addresses required. Please list people other than family members.)

Tell us any additional information that may help us match you to the best dog for your family.

While we encourage you to look elsewhere, including other rescue groups and your local shelter, for a rescued dog, our volunteers are working hard to find a dog that would fit into your family if your application is approved. Have you applied to other rescue groups and/or looking at your local shelters for a new pet?   Yes No

If yes, please explain. Please let us know if you adopt a pet from somewhere else, so that we can close your application.

By submitting this form I declare that I am at least 21 years of age and that all the information on this form 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 Lab Rescue. Lab Rescue of North Carolina, Inc. reserves the right to refuse or deny any application and/or adoption.

Since we are volunteers with full time jobs and/or other commitments it does sometimes take a few days to get back to you.
PLEASE NOTE: You will receive an email from the adoption screener's private email address that will handle your application. The email will not have an email address showing labrescuenc.org The email will have an attachment that you MUST read and then YOU MUST CALL the number listed in the response to continue the adoption approval process!

If you do not hear from us within a few days PLEASE let us know as we may not have received your application!
Thank you for your patience and understanding.
Lab Rescue of NC, Inc.