ADOPTION APPLICATION

CONNECTICUT LABRADOR RESCUE, INC. LABRADOR RETRIEVER ADOPTION APPLICATION

You may copy and paste this form into a word processing program and send it via email.

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Name __________________
Date

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Address

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City, State, ZIP

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Phone Please check one:
We are interested in: Gender: Male Female No Preference

Color: Yellow Black Chocolate No Preference

Age: Under 1 1-3 3-5 over 5

Energy: High Medium Low

Specific Dog? Name:____________________________

How many members in your household: ____________

Children's Ages: ____________________________________

Rent or own your home? If own, please provide proof of ownership.__________

If Rent, provide Landlord's Name/Tel #__________________________________________________________________________________

***** Connecticut Labrador Rescue, Inc. REQUIRES THAT ALL RENTERS SUBMIT WRITTEN PROOF OF PERMISSION FROM LANDLORD WITH APPLICATION *****

Do you have a yard? yes no Fenced In Yard? yes no

If not, do you have a run or kennel? yes no
If not, how do you plan to exercise your dog? __________________________________________________________________________________

Who will supervise the dog's daily activities, including indoor and outdoor time? ____________________________________________________________________________________________________________________

Labrador Retrievers need DAILY exercise.

Does anyone in the household have allergies: yes no
If yes, please explain: ____________________________________________________________________________________________________________________

Do you have other animals: yes no
If yes, describe which type and how you acquired the animal(s)
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Have you ever owned a dog? yes no
Describe: ____________________________________________________________________________________________________________________

Have you ever given up a dog? yes no
If yes, please give reason:
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Who will be responsible to care for this dog? Please explain in detail.
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Where will the dog be kept during the day? __________________________________ At night: ___________________________
Will you be crating the dog? yes no

How long a period of time will the dog be left alone daily?
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Where and how will be the dog be confined when home alone?
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The Labrador Retriever is a companion, family dog. We will not adopt our Lab Rescue dogs to new homes that plan on keeping the dog chained outside or outside away from family for hours at a time. The Lab is to be part of your family.

Do you plan on obedience training your dog? yes no
If no, why not?
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Please provide veterinarian reference(s): Name, Address, Tel # ____________________________________________________________________________________________________________________

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Please provide references (someone who is familiar with how you keep your animals)

____________________________________________________________________________________________________________________ Name/Address/Telephone Numbers

Best time and place to contact you?
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Is there any additional information pertinent to adopting a rescued lab that you would like us to know?
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ADOPTION CONDITIONS: (Hold Harmless Waiver)

All adult dogs adopted through CONNECTICUT LABRADOR RESCUE INC. are spayed/neutered (this does not apply to puppies or any dog that cannot be spayed/neutered at the time of adoption due to a medical condition, i.e.,heartworm treatment), heartworm tested, and vaccinated. IF, FOR ANY REASON, YOU CAN NO LONGER KEEP THE DOG, YOU MUST NOTIFY CONNECTICUT LABRADOR RESCUE INC. Adoption donations are non-refundable if dog is returned after the two week trial period.

CONNECTICUT LABRADOR RESCUE INC. IS NOT RESPONSIBLE FOR ANY DAMAGE, OR INJURY DONE BY THE DOG ONCE THE OWNER TAKES POSSESSION AND OWNERSHIP OF THE DOG FROM CONNECTICUT LABRADOR RESCUE INC. THIS INCLUDES THE TWO WEEK TRIAL ADOPTION PERIOD AND THEREAFTER.

In the event of emergencies or problems during the two week trial period, Merri Mahoney MUST be contacted immediately at (860) 345-2456.

I/We acknowledge that all the information on this Application is true and correct. I further understand that any misrepresentation of fact may result in my being denied the right to adopt a rescue lab from CONNECTICUT LABRADOR RESCUE INC. or the removal of any dog adopted by CONNECTICUT LABRADOR RESCUE INC..

CONNECTICUT LABRADOR RESCUE INC. RESERVES THE RIGHT TO REFUSE OR DENY ANY APPLICATION, AND TO CHECK ON THE HEALTH AND WELL BEING OF ANY DOG PLACED DURING THE LIFETIME OF THE DOG. CONNECTICUT LABRADOR RESCUE INC. DOES NOT ADVOCATE, AND WILL NOT TOLERATE, THE CHAINING OUTSIDE OF ANY OF ITS DOGS FOR LONG PERIODS OF TIME.

I am 18 years of age or older, have read the above, understand and accept these conditions.

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Applicant's Signature/Date

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Co-Applicant's Signature/Date

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Printed Name-Applicant ___________________________________
Printed Name-Co-Applicant

Please send completed Application to:

CONNECTICUT LABRADOR RESCUE INC., 299 Hidden Lake Road, Higganum, CT 06441 email: ctlabrescue@gmail.com Website: http://www.labrescuect.com/

THANK YOU for being interested in a rescued Labrador retriever and taking the time to complete this Application. We will be in touch. Sometimes, we are overloaded with rescues, and other times, we have a slow period. More males seem to come into the program than females, and more blacks than yellows and chocolates.

If you think you can help Connecticut Labrador Rescue Inc.,with fostering, transportation, or evaluation of labs that may be in shelters, kindly let us know.