PRESENT OWNER INFORMATION
Application:
Your name:
E-mail Address:
Cell :
Home Phone  /
Work :
Street Address:
 City:
Province:
 Postal Code:
How did you hear about
Lab Rescue?
Why are you
bringing the
dog to Lab
Rescue?
Please be
specific.
Are you the
original owner?
LAB DETAILS - GENERAL INFORMATION
Name of Lab,
Birthday / Age
Lab's Approx
Weight
Lab Gender:
Lab Colour:
Is the Lab spayed/neutered?
Is the Lab registered?
You will be required to sign
over the registration papers if
your dog is accepted into Lab
Rescue. Do you agree to fulfill
this requirement?
Tattoo number:
Microchip ID number:
Has the breeder been informed
that you are no longer able to
keep the Lab?
Breeder's Name &
Address (if known) :
Yes
 No
MORE ABOUT YOUR LAB
Describe your Lab's general temperament?
Is this dog a house pet?
Yes
 No
Is your dog housebroken?
Yes
 No
Does your dog occasionally make mistakes?
Yes
 No
Does your dog chew furniture or household items?
Yes
 No
Does your dog dig holes?
Yes
 No
Yes
 No
Does your dog go over or under fences?
Yes
 No
Does your dog get into the garbage?
Does your dog chase cars or bicycles?
 Yes
 No
Does your dog play games?
Yes
 No
If so, what kind?
Is your dog good with children?
 Yes
 No
Younger children?
 Yes
 No
Do you have children?
Yes
 No
If so, what ages?
Is your dog good with cats?
Yes
 No
 Unkwnown
Has the dog had basic obedience training?
Yes
 No
Does your dog ride well in a car?
Yes
 No
Has the dog ever bitten/shown aggression towards a person?
Yes
 No
If "yes" please describe in details
Has your dog ever bitten another dog?
Yes
 No
How does your dog react to other dogs?
Is the dog aggressive towards strangers?
 Yes
 No
Has your dog ever been reported to any animal services agencies for any reason?
 Yes
 No
Does the dog have any behavioral problems?
 Yes
 No
If yes, please describe:
List the COMMANDS that your dogs knows:
Describe a day in the life of your life:
HEALTH & CARE
What is the general health/condition of the dog? Please
describe in detail if necessary
List your vet's  clinic, name and phone Number:
When was the dog last vaccinated?
When was your dog last at the vet other than vaccinations and for
what?
List any MEDICINE that your dog takes, if any:
Do we have Permission to cal your VET?
Where is the dog kept when no-one is at home?
How long at a time has the dog generally been left at home alone?
Is your dog ever kept outside? If yes, for how long?
Have you ever had to board the dog (kennel/friend’s home)?
Yes
 No
If so, how did the dog react?
What is the dog currently being fed? (be specific as to brand)
How much? Once a day or twice a day? With or water added to the meal?
Does your dog get any PEOPLE food?
Are you willing / able to keep the dog at your home until a suitable adoptive
home can be found?
 Yes
 No
COMMENTS & AGREEMENT
Please add any additional information that you think we should know:
By ticking the box below, you acknowledge your agreement with the accompanying statement:
I hereby certify that to the best of my knowledge the foregoing information is true and accurate in all respects.
Please type your name to serve as your signature:
To COMPLETE the application you must click the SUBMIT button to send
the file to us!
Thank you for surrendering your Lab to Lab Rescue.  We will do our best
to find this Lab a loving home!
You need Java to see this applet.
Surrender Application
Please fill out the application below and once completed push the "SUBMIT" button at the end of the application. If you wish for a copy print the
application prior to submitting. Please be as honest as possible as it assists in us find the right new loving home for your Lab.