Please check the boxes to the right following the statements below to indicate that you
have read and agree with each of the statements listed:
Our standard adoption fee for Labs seven years of age and under is $400.00. Fees for senior Labs or special
needs Labs are determined on an individual basis. The adoption fee helps defray the costs and continue to
operate our rescue service. All necessary veterinary care is provided including vaccinations, micro-chipping
and spaying or neutering for the adopted Lab.

Adoption homes are selected on an individual basis to match the needs of the adopted Lab to the adopter.
Many factors are evaluated in this process to make the best possible match.  Labrador Retriever Adoption
Service Inc. reserves the right to refuse an application.

Adoption homes must have a properly secured yard or dog run for the dog. Tying your dog to a post or
clothesline is unacceptable.

The Lab must be kept as a household pet and companion and must not be left outside all the time or spend a
great deal of time away from people. The Lab must also be kept in good health, by providing the proper care
including regular and necessary veterinary attention. The Lab must also not be left alone for more than eight
hours at any given time.

You are willing to have a Lab Rescue volunteer visit your home prior to adoption, by appointment.
APPLICANT PERSONAL INFORMATION
Your name:
E-mail Address:
Home Phone:
 Alternate Phone:
Street Address:
 City:
Province:
 Postal Code:
What is your
time frame for
adopting?
Why do you want
to own a Lab?
HOUSEHOLD INFORMATION
Please select your residence type:
Own
 Rent
If renting, does your rental agreement allow pets?
How long have you lived at your current address?
years
What is the size of your property?
Do you have a fenced yard?
Do you have a swimming pool in your yard?
Yes
 No
If so, what type of winter cover do you use?
Please list all residents in your household
(include ages):
If the above named includes children,
what is their experience with dogs?
Is everyone in your household agreeable
to adopting a rescued Lab?
Does any member of your household
have allergies?
APPLICANT PET HISTORY & EXPERIENCE
Have you owned a dog before?
Have you owned a Lab before?
If not, have you had exposure to other large dogs?
If so, which breed(s)?
Have you had any experience
housebreaking a dog?
In the box below, please list all pets currently residing in your household and provide their species, gender, age, whether they have been
spayed/neutered and how long you have had each pet. If you have no pets, simply write "none."
Please list all the pets that you have owned in the
past five years that do not currently reside in your
household and their present location / details:
APPLICANT LAB CARE PLANS
Estimate the cost of owning
a Lab each year (in dollars):
Are any members of the household
home during the day?
If yes, who?
On average, how many hours a
day would the Lab be left alone?
Where would the Lab be kept during the day?
Where would the Lab sleep at night?
What provisions will be made for the
Lab when you go on vacation?
If you were to move would
you take the Lab with you?
What would be the reasonable amount of time
per day that you could exercise your Lab?
How do you intend to exercise your Lab?
Would you take the time to train your
dog or hire a trainer if necessary?
Have you had any experience in
basic obedience training?
Are you willing to crate train if necessary?
CHARACTERISTICS OF LAB DESIRED
Select Gender Desired for Lab
( Preference or Requirement):
 Preference or Requirement
Select Colour Desired for Lab
(Preference or Requirement):
 Preference or Requirement
Select AGE Desired for Lab
(Preference or Requirement):
 Preference or Requirement
Select Energy Level Desired for Lab
(Preference or Requirement):
 Preference or Requirement
Would you consider a Lab with
special needs?
Yes
 No
Please indicate whether there are
additional qualities you are looking
for in your Lab:
REFERENCES/ Veterinarian
Clinic Name:
 Telephone:
Vet's Name:
 City:
REFERENCES / Personal
Name:
 E-mail Address:
Relationship:
 Telephone:
You need Java to see this applet.
Please add any additional comments that you would like us to know:
How did you hear about Lab Rescue?
To complete the application you must click the SUBMIT button to
send the file to us!
Thank you for your interest in adopting a Labrador through Lab Rescue.
*** TO BE COMPLETED BY LAB RESCUE REPRESENTATIVE
Adoption Application