ONLINE APPLICATION FORM

Our goal is to place pets in permanent, loving, nurturing homes.  Please complete this application and contract so we can assist you in finding a special, compatible companion to join your family.  With this information, we minimize the risk of a failed adoption.  We do not adopt dogs or cats on a “first come, first served” basis, but rather make every attempt to match families with the most compatible pets.  We reserve the right to decline any application.   The adoption fee for dogs varies, depending on the costs incurred by the Rescue for veterinary care & examinations, including spaying/neutering, vaccinations, worming, testing, heartworm treatment for heartworm positive dogs, flea/tick & heartworm preventative, transport, and other incidental expenses. 

**PLEASE MAKE SURE YOU PROVIDE YOUR EMAIL ADDRESS ON THE APPLICATION FORM SO WE CAN CONTACT YOU!!***

Name (please provide yours and your spouse's), Address, Telephone Numbers, Email Address, and Date of Birth: :
Your Employer/Occupation, Your Spouse's Employer/Occupation:
Do you own or rent? House or apartment? How long at this location? Landlord's Name and Phone Number :
Do you have children? If so, what are their ages? Does anyone in the household have allergies to dogs or cats?:
Is your yard fenced? If not, how will you contain, safeguard, and exercise your pet?:
If applying for a specific dog, please provide name. How many hours per day will the dog be left alone (without humans)?:
Please list your veterinarian's name, address, and phone number. Do you grant us permission to contact your veterinarian for a reference?:
Please list your pet ownership history, and for all current pets, please indicate whether they are neutered and UTD on shots :
Are you willing/able to purchase and use a crate if needed or advised? Have you potty trained a dog before? If so, how did you accomplish this? Are you willing to commit to obedience-training? :
Please tell us about your lifestyle, family, & the qualities you're looking for in a pet (age, activity level, color, breed, sex, temperament, training). Also, please tell us how you heard about L.A.B Rescue!:


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