1. First and Last Name of All Adults Applying* (required)

2. Full Street Address* (required)

3. P.O. Box, Apt, Suite or Unit #

4. City* (required)

5. State

5b. Zip

6. Home Phone* (required)

7. Work Phone

8. Cell Phone

9. E-mail* (required)

10. When is the best time to call and please refer to What number is best to reach you on. Home/Cell/Work

11. How did you hear about American Lab Rescue?
—Please choose an option—PetfinderFriendWebsitePrior Adopter

*If you were a prior adopter of American Lab Rescue, who did you adopt and approx when?

12. Age range of dog you are interested in adopting?
—Please choose an option—BabyYoungAdultSenior

13. Please name the dog(s) that interest you on our site.

14. Why are you interested in this particular pet? Please specify.

15. Why do you want to adopt a rescue dog?* (required)

16. Would you consider a special-needs dog?
—Please choose an option—YesNo

17. Will you accept a mix breed or only a pure bred?
—Please choose an option—Mix Breed OkayOnly a Pure BreedEither is Fine

18. Describe the activity level that best fits your household.
—Please choose an option—QuietSome ActivityActiveVery Active

19. Please describe your daily activities.* (required)

20. If the dog(s) you are interested in are not available, are you looking to adopt a male, female or either?
MaleFemaleEither

21. What are the ages of all household members, currently living at the address above?* (required)

Adults (18 yrs of age or older), Children (17 and younger)

22. Who will care for, train and exercise the dog?* (required)

23. Does anyone in your household have allergies?
—Please choose an option—YesNo

Please be advised that home visits are mandatory prior to approving the adoption of one of our rescue dogs. All members of the household are required to to be available for the home visit.

24. May we visit your home prior to application approval?
—Please choose an option—YesNo

25. Do you have any pets currently in your home now?
—Please choose an option—YesNo

26. Are they on year-round heart worm preventative (monthly tablets)?
—Please choose an option—YesNo

27. Are they current on all vaccines? Rabies, Parvo, Distemper and Bordetella (ie: Kennel Cough)
—Please choose an option—YesNo

28. Please list ALL pets you currently own and answer the above questions for all current dogs.* (required)

29. Please list ALL PETS you have owned in the last 5 years.* (required)

30. If you owned a dog in the past, what did you like BEST about dog ownership?* (required)

31. What did you like LEAST about dog ownership?* (required)

32. What breeds do you have familiarity with?* (required)

We do a vet check on all potential adopters. Please note that you will need to contact your vet and give permission to release info to us.

33. Please provide the full name, address, and phone number of your current and any other veterinarian(s) that you have used the last 5 years. IMPORTANT: After completing this application you need to call your vet and let them know you are applying for a rescue dog and give permission for information to be released to American Lab Rescue about your current and/or past pets health status. Without permission from your vet, we will immediately discontinue the process of moving forward with your application.

Veterinarian 1 - Veterinarian's Practice Name, Vets Name & Complete Address (Include city/town), Vet's phone number and name of pet's seen at that vet.* (required)

Veterinarian 2 - Veterinarian's Practice Name, Vets Name & Complete Address (Include city/town), Vet's phone number and name of pet's seen at that vet.

Veterinarian 3 - Veterinarian's Practice Name, Vets Name & Complete Address (Include city/town), Vet's phone number and name of pet's seen at that vet.

34. If your current dog is the only dog how do you think it will respond to a new pet?* (required)

35. Have you ever introduced a new pet into your household before?
—Please choose an option—YesNo

36. Please explain briefly how you went about it.

37. How long have you lived at your current address?

38. Do you Own or Rent at your current address?
—Please choose an option—RentOwn

39. If you rent, do you have permission from your landlord?
—Please choose an option—YesNo

40. Is there a pet size/weight limitation in your rental or lease agreement?
—Please choose an option—YesNo

41. If yes, please note how large a dog you are allowed?

42. Please provide landlord name and phone number.

43. On average how long will the dog be alone on a daily basis?* (required)

44. Where will the dog stay when you are away from the house?* (required)

45. Are you familiar with the use of a dog crate to train your pet?

46. Are you planning on using one?

47. Please describe your yard/property (size of lot, etc.)* (required)

BE ADVISED THAT DUE TO EITHER ACTIVITY LEVELS, BREED/MIX OF THE RESCUE DOG OR SPECIFIC REQUIREMENTS FROM THE RESCUER, MOST OF OUR DOGS WILL REQUIRE FENCED YARDS.

48. Is your yard fenced?

49. If so, please choose current fencing.
—Please choose an option—ElectricPicketChain-linkAluminumSplit rail fenceSplit rail fence with wire mesh backingOther

49a. Please describe your fencing (including height and length of fenced area)?

49b. Do you have a pool?
—Please choose an option—YesNo

49c. What type of pool
—Please choose an option—Above groundInground

49d. If you have a pool is it fenced?
—Please choose an option—YesNo

50. If you do not have a fence are you going to install one?
—Please choose an option—YesNo

51. Will your dog be allowed to run free unattended?
—Please choose an option—YesNo

52. Have you ever taken a dog to obedience training?

53. Have you ever sold, given away or surrendered a pet for any reason? If yes please specify why:* (required)

54. Please tell us a little about your day to day life including any activities in which your dog would be included.* (required)

55. Where will the dog go if you have to move?* (required)

56. Do you understand the state and local ordinances concerning licensing and leashing?
—Please choose an option—YesNo

Please be advised that some of our dogs are currently not being fostered in the Northeast. The dog's bio should note if he or she is being fostered locally.

57. Are you willing to adopt a dog without meeting it first?

58. Finally, is there anything else you would like us to know about your application?* (required)

By clicking the SUBMIT button below, I/we attest that the information given on this application is true and accurate to the best of my/our knowledge. I/we understand that completion and submission of this application does not guarantee adoption of a pet. I/we agree to pay the non-refundable adoption fee of $550.00 if we decide to/are accepted to adopt a dog. I/we understand that this fee covers shots, spay/neuter, heartworm tests and transportation costs.
I have read the statement above and understand and agree* (required)
—Please choose an option—YesNo

Applicant's Signature* (required)

Co-Applicant's Signature