|
Owners Name |
|
|
Street Address |
|
|
City |
|
|
State |
|
| County |
|
|
Zip/Postal Code |
|
|
Home Phone |
|
|
E-mail |
|
|
Referred by |
|
|
Today's Date
|
|
| Dogs Formal Name |
|
|
Dogs Nickname |
|
|
AKC Number |
If your dog is not registered,
please leave blank
|
| |
|
| Other Information: |
Sex Male Female
Color
Weight:
Spayed/Neutered Yes No
If not spayed or neutered, why not?
|
|
Age of Dog
Age at Purchase
Date Available / /
|
| |
|
If this dog is a stray, how long
have you had it in your possession?
|
|
|
Dog's Breeder |
|
|
Breeder's Contact Information |
|
|
Have you tried to contact the
dog's breeder? Reputable breeders always take responsibility
for the dogs they produce and usually want their dogs back if
you cannot keep it, no matter what the age of the dog is now.
|
Yes, we contacted
the breeder.
What did they say?
No, we did not/cannot contact
the breeder
If no, why not?
|
| |
|
| |
The more we know about your dog, the better job we can do of finding the best possible home for it. Please answer the following questions as completely and honestly as possible.
|
|
Current family includes
(please give children's ages)
|
|
|
Do you have other animals?
(type, sex, age)
|
|
|
Does your dog like: |
Water (Swimming)
Cats
Other Dogs
Children
Baths
Car Rides
Being Brushed
Strangers
Nails Trimmed |
|
Elaboration on Likes/Dislikes |
|
|
Is your dog |
Housebroken
Crate trained
Obedience trained
Food Aggressive (i.e. dog growls if you get near food/bones/toys) |
|
Does your dog |
Chew
Bark
Jump on people
Dig
Come when called
Walk on lead |
|
Does your dog know |
Sit
Stay
Heel
Down on command
Fetch |
|
Can you leave him/her unattended
in the house for long periods of time without him/her damaging
anything?
|
Yes
No
Don't know |
|
Any special training tricks?
If obedience trained, when and
where?
|
|
|
Your Household activity level
|
Quiet Active Very Active |
|
Will your dog jump a
|
Short (3ft) Fence
Tall (6ft) Fence
Doesn't try to get out |
|
How high is the fence the dog
is kept in now?
|
|
|
Do you have a local Veterinarian? |
Yes No |
|
If yes, Vets: | Name
Address
Phone Number
|
|
Vaccination Dates |
DA2PP
Rabies
Bordatella
Corona |
|
Heartworm Preventative |
Last Test Date:
Is the dog currently on preventative?
Yes No
Preventative Type (Brand)
What day of the month do you give it?
|
|
Dog's feeding instructions |
|
|
How many meals per day |
|
|
Amount each feeding |
|
|
Exercise/Potty Schedule |
|
|
How does dog let you know it's
time to go outside? |
|
|
Where is the dog during the
day? |
|
|
Where is the dog at night (where
does dog sleep)? |
|
|
Where does the dog eat and how
much? And what brand? |
|
|
Describe the dog's general temperament |
|
|
Has this dog ever snarled or
snapped? (Be honest) |
|
|
Has this dog ever shown fear
(of strangers, thunderstorms, etc.)? |
|
|
Has this dog ever bitten a person
or other dog? (Be honest) |
|
|
Why are you unable to keep this
dog? |
|
|
Additional Comments |
|
If we feel your Lab meets our adoption criteria, we will make arrangements for an LRRoF volunteer to evaluate your dog.
During the evaluation, the LRRoF volunteer will need to see the dog, any medical records (please obtain a copy of them
from your vet), AKC papers (if applicable) and any other paperwork you feel is pertinent to your dog.
Our Surrender Coordinator will later contact you regarding our decision and expected date we could take the dog.
When it is time to surrender your Lab, arrangements will be made for meeting a volunteer to surrender your dog.
For safety reasons, your Lab must have a current rabies vaccination and rabies vaccination certificate at the time of
surrender (which is available through your vet's office). Copies of AKC and pedigree information are useful if available.
You may also donate any of your dog's food, bedding, crate, bowls, collars, leashes, heartworm preventative,
medication, etc. The volunteer will ask you to sign a LRROF surrender form, and collect the surrender fee of $100.
Signing the surrender form legally transfers ownership from you to LRROF.
Unless the new adoptive family wishes, we will not release their name to the surrendering families.
We are very careful to screen our adopters and to match the right Lab with the right family. We provide after adoption
counseling and will continue to visit the adoptive homes to insure the care and well being of our Labs. In the rare event
an adoption doesn't work out, the adoptive family is required by contract to return the dog to our Rescue.
We will make every effort to place your dog in an environment that will make him or her happy and will provide the dog
with humane lifetime care. Be assured that once accepted into Rescue, the dog will stay in rescue until a
proper adoptive home is found.
|
