Adoption Application

Labs N More Puppy Rescue Adoption Application

Family Information

Today's Date: * MM / DD / YYYY
Name: * First Last
Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone: * ### - ### - ####
Email: *
Are you over 21? *
Yes No
Date of Birth: * MM / DD / YYYY
Do you live in a *
Condo House Apartment Other
Own/Rent? *
Own Rent
Landlord Name: First Last
Landlord Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Landlord Phone: ### - ### - ####
Please list all of the adult's first and last names and ages that live in the home: * First Last
First Last
First Last
If there are children home, what are their ages?
Does anyone in your home have allergies to animals? *
No Yes

References

Labs N More requires three references before adoption, all three will be contacted. If you do not currently have a vet you must provide a third personal reference (note that on the application please), we will ask for the vet you plan to use at the time of adoption so please have that ready.

Vet Name/Clinic: *
Vet Phone: * ### - ### - ####
Vet Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Reference 1 Name: * First Last
Pleaset Note: One of the references should be a non family member.
Reference 1 Phone: * ### - ### - ####
Reference 1 Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Reference 1 Email:
Reference 1 Relation: *
Reference 2 Name: * First Last
Pleaset Note: One of the references should be a non family member.
Reference 2 Phone: * ### - ### - ####
Reference 2 Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Reference 2 Email:
Reference 2 Relation: *

Additional Information

Please answer these questions to the best of your ability. Thank you.

We are interested a dog/puppy that is: *
I want to adopt a dog/puppy because I want: *
protection companionship to breed farm dog hunting dog for my children other
How long will this dog be at home alone during the day? *
When you are not home, where will the dog stay? *
indoor crate outdoor kennel confined to one room free in house free outside other
When outdoors, how will your pet be confined and kept safe? *
What do you think is the cost of annual vet expenses? *
What do you think is the cost of spay or neutering? *
What are the children's experiences with dogs?
Do you have any other pets? *
If you have had pets in the past, what happened to them? *
Comments:

Please feel free to give us further information on your answers or any additional information you wish to share with the rescue.
Do Not Fill This Out