Personal Information

Full Name: Email Address:

Address:

City:     State:           Zip      

Home Phone: Work Phone: Cell Phone:    

PLEASE NOTE: You must complete the entire application.  Incomplete applications will be returned for completion thus delaying the adoption process.  Please allow 7-10 days for processing.

Please list and describe your current dog(s) first, and then any other dog(s) you were the primary caretaker for:

Name:   Breed:

Age: Gender: Make Selection Male Female Spayed Female Neutered Male

Name:   Breed:

Age: Gender: Make Selection Male Female Spayed Female Neutered Male

Name:   Breed:

Age: Gender: Make Selection Male Female Spayed Female Neutered Male

Veterinarian Information:

Vet Name:

Vet Address: Vet Phone Number

If you do not have a Veterinarian yet, who do you plan on using?

Vet Name:

Vet Address: Vet Phone Number

Has your current dog ever lived with another dog? Make Selection Yes No Not Applicable

If so, how well did they get along?

How long has your current dog been an "only pet"?

Are your current dogs on heartworm prevention medication? Make Selection N/A Yes No

 If so, what type and how often do they take it:

Why do you want to own a Labrador Retriever -vs- another breed?

Have you ever had to give up/give away/euthanize a dog for behavior issues? IF so, please explain the circumstances:

Do you have any other animals?  Please list what you have and if they are spayed/neutered.

Name:   Type of Animal: Make Selection Cat Bird Reptile Pet Rodent Other

Age: Gender: Make Selection Male Female Spayed Female Neutered Male

Name:   Type of Animal: Make Selection Cat Bird Reptile Pet Rodent Other

Age: Gender: Make Selection Male Female Spayed Female Neutered Male

Name:   Type of Animal: Make Selection Cat Bird Reptile Pet Rodent Other

Age: Gender: Make Selection Male Female Spayed Female Neutered Male

Have any of the above listed animals ever lived with a large breed dog before? Make Selection N/A Yes No

Is your dwelling a: Make Selection House Townhome Apartment Other Do you own or rent your home? Make Selection Own Rent

If you rent, we require a written consent from your landlord to bring animals into the property.  Please provide name, address and phone number for your Landlord.

Landlord Name:

Landlord Address: Landlord Phone Number:

Do you have a fenced-in yard or fenced area attached to your dwelling? Make Selection N/A Yes No

If Yes:

Fence Type: Height:

Length: Width:

 Is the fence dug into the ground? If so, how deep?

 Is the fence attached to your home? If not attached to home, how far away is it from the home?

If you do not have a fenced in area attached to your home, would you be willing to install one or adopt a more senior Labrador Retriever? Make Selection N/A Yes No

Are you aware of any distractions outside your yard that could plague your adopted dog while he is out? (such as Neighbors pets, loose dogs on the street, mischievous children, neighbors who do not like dogs?  Make Selection N/A Yes No

Please list these things so that you and HLRR are aware of them:

Do you have a pool? Make Selection N/A Yes No If yes, is it Make Selection N/A in ground above ground

Please tell us about all the people an adopted Labrador Retriever would usually come in contact with, including your spouse, roommates, children, neighborhood children, grandchildren, friends, relatives, etc.

Name: Age:

Relationship to you:

Lives with you: Make Selection N/A Yes No Visits how often: Make Selection Daily Weekly Monthly Other

Name: Age:

Relationship to you:

Lives with you: Make Selection N/A Yes No Visits how often: Make Selection Daily Not Applicable Weekly Monthly Other

Name: Age:

Relationship to you:

Lives with you: Make Selection N/A Yes No Visits how often: Make Selection Daily Not Applicable Weekly Monthly Other

Name: Age:

Relationship to you:

Lives with you: Make Selection N/A Yes No Visits how often: Make Selection Daily Not Applicable Weekly Monthly Other

Name: Age:

Relationship to you:

Lives with you: Make Selection N/A Yes No Visits how often: Make Selection Daily Weekly Monthly Other

Where will your rescue Labrador Retriever sleep at night?

Where will your rescue Labrador Retriever stay during the day when you are home?

Where will your rescue Labrador Retriever stay during the day when you are NOT home?

What is your expectation regarding a rescue dog's obedience training level? Make Selection Untrained is okay Completely Trained Somewhat Trained Other

When you say "Obedience Trained", what do you mean?

Please describe in detail what behaviors in a dog or what training is important to you, and describe how you would train the dog to exhibit these behaviors.  IF you don't know how you'd train for some behaviors, please make a note of that.

Please list the names of 2 references.  References should have a strong feeling of what you are like as a dog owner and should NOT be related to you.

NAME:

Daytime Number:

Evening Number:

Best time to reach:

NAME:

Daytime Number:

Evening Number:

Best time to reach:

Under what circumstances would you find it necessary to get rid of or re-home your rescue Labrador Retriever?

Make Selection Moving Change in schedule Marriage Divorce New Baby Does not get along with current pets Illness Other (please select all that apply)

Have you applied anywhere else within the past year to adopt and animal?  If so, where?

Please describe the perfect dog to you.  What Characteristics are you looking for?  As you answer this, please think about your lifestyle-are you active, in and out a lot, are there numerous people/children around, etc., are you more sedentary, quiet, few visitors?  What personality in a dog would best fit into your family? Do you have other pets that need considerations?

Of all the characteristics you listed above for your perfect dog, please note the 2 things that are the most important to you.

The basic needs of a healthy Labrador Retriever (feeding, vet visits, etc) can cost approximately $500-$800 per year.  Any health or behavior problems with the dog could increase this amount.  You need to anticipate that the dog could need emergency surgery or you might need to take the dog to additional training classes, etc and the cost is something you need to be prepared for.

Does this financial responsibility present a problem? Make Selection Yes No

Can you make the full adoption donation for your adopted Lab at the time of adoption? ($300) Make Selection Yes No

How did you hear about Houston Labrador Retriever Rescue, and dog(s) interested in?

In submitting this application, I contend that I am at least 21 years of age and intend to be the legal owner and the person responsible for the care and well-being of any dog that I adopt from Houston Labrador Retriever Rescue (HLRR). 

In submitting this application, I give representatives permission to contact my veterinarian, references, landlord (if applicable) for information to aid in the evaluation of whether a rescue Labrador Retriever is appropriate for me and my current living situation.

If you would like to mail in this application rather than submitting it online, please submit to:

Houston Labrador Retriever Rescue