Wufoo

Adoption Application

Family Information
Date: * / MM / DD YYYY
Name: * First Last
Address: *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone: * - (###) - ### ####
Email: *
Are you over 21? * Yes No
Own/Rent? * Own Rent
Landlord Name: First Last
Landlord Address:

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Landlord Phone: - (###) - ### ####
References

Labs N More requires three references before adoption, all three will be contacted. If you do not currently have a vet you must provide a third personal reference (note that on the application please), we will ask for the vet you plan to use at the time of adoption so please have that ready.
Vet Name/Clinic: *
Vet Phone: * - (###) - ### ####
Vet Address: *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Reference 1 Name: * First Last
Reference 1 Phone: * - (###) - ### ####
Reference 1 Address: *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Reference 1 Email:
Reference 1 Relation: *
Reference 2 Name: * First Last
Reference 2 Phone: * - (###) - ### ####
Reference 2 Address: *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Reference 2 Email:
Reference 2 Relation: *
Additional Information

Please answer these questions to the best of your ability. Thank you.
Name(s) of other adults in household: *
We are interest in a puppy that is: *
I want to adopt a dog/puppy because I want: * protection companionship to breed farm dog hunting dog for my children other
How long will this dog be at home alone during the day? *
When you are not home, where will the dog stay? * indoor crate outdoor kennel confined to one room free in house free outside other
When oudoors, how will your pet be confined and kept safe? *
What do you think is the cost of annual vet expenses? *
What do you think is the cost of spay or neutering? *
If there are children home, what are their ages?
What are the children's experiences with dogs?
Does anyone in your home have allergies to animals? * No Yes
Do you have any other pets? *
If you have had pets in the past, what happened to them? *
Comments:

Please feel free to give us further information on your answers or any additional information you wish to share with the rescue.
Do Not Fill This Out

Wufoo

Adoption Application

Family Information

References

Additional Information