Adoption Application

Use this quick and easy e-mail form to apply for adoption of a Lab! Just fill in the fields and click the "Submit" button at the bottom of the page to e-mail the form to us! You will then be contacted by LRRNT

(note: $250 Adoption Fee required).

LRRNT DOES NOT PLACE OUR DOGS IN HOMES WHERE UNALTERED (not spayed or neutered) PETS RESIDE. DOGS MUST BE ADOPTED AS INSIDE CANINE COMPANIONS ONLY. WE ACCEPT NO OUTSIDE DOG APPLICATIONS. ADOPTERS MUST BE AT LEAST 21 YEARS OLD.

Dogs placed into the LRRNT program are current on all shots, have been given fecal exams for parasites and tested for heartworms. Dogs testing positive are fully treated prior to release for adoption. All dogs are on heartworm preventative medication. All dogs are spayed or neutered. If due to age or health reasons this procedure has not been performed, it will be scheduled as soon as possible. Anyone adopting a dog that has not been spayed or neutered due to age or health reasons will be required to sign a contract requiring such procedure to be performed as soon as possible. There will be a fifty dollar refundable spay/neuter deposit required on all such adoptions.

If this form does not work on your computer please download our Application in MS Word format (CLICK HERE)

items followed by * are required

Personal Information

Name*

Address*

City*

State*

Zip Code*

Home Phone*

Cellular

Fax

E-mail*

items followed by * are required

About Your Home

Do you own or rent your home?*

If you rent, are dogs allowed on the property?

Do you currently have a dog?*

If you have dog(s), were they rescued dogs?

If you have dog(s), how many do you own?

Describe kinds of dogs owned

Do you have other pets?

Describe your other pets

Number of adults in your home*

Number of children*

List ages of children

Is anyone normally home during the day?*

How long will the dog be left alone?*

Where will dog stay during the day while left alone?*

What kind of fence do you have?*

If other, please describe kind of fence you have

Where will the dog sleep?*

Where will dog stay during extended absences (vacation, holiday, etc.)?*

Who in family wants dog the most? *

Have you ever surrendered or given up any pet you owned?*

If you checked YES, what were the circumstances?

Do you have a swimming pool?*

If yes, is there an enclosure around the pool?

Willing to take dog to obedience classes, if needed?*

Willing to crate for the first month when not home?*

We believe it is safer to crate the dog in the house than to leave the dog alone in the backyard where it can dig out and escape or in the house where it can be destructive.

Please list main reason(s) for wanting to adopt a rescued Labrador Retriever*

items followed by * are required

Please Provide The Following Veterinary Information

Do you have a veterinarian?*

If yes, please indicate below the name, address and if known, the phone number of your veterinarian:

Name of Veterinarian

Address

City, State, Zip

Phone Number

items followed by * are required

Your Preferences

Dog age preference*

Dog gender preference*

Dog color preference*

Questions and comments

Please indicate any special needs dog you might consider:

Three legged	Senior Dog	Hip Problems	Skin Problems
Blind	Deaf	Allergies	Other Medical

If you checked any of the blocks above, please list any conditions or limitations

If you have any questions about the adoption process please list them

If any family member is opposed to adoption please list who and why