Date
Labrador applying for
Applicant Name
Address
City, State, and Zip Code
Home Phone Number
Mobile Phone Number
Work Phone Number
Email Address
Are you over 18 years of age	YesNo
Ages of everyone in your household
Who will be responsible for your adopted dog
Is everyone in agreement on adopting a dog	YesNoNot Sure
Reasons you want to adopt a dog
Where will you keep the dog
Hours a day the dog will be left alone
Where will you keep the dog while your out
Is your yard fenced, and the height
Do you Rent or Own your residence	OwnRentLease
Do you have permission to have a dog	YesNoNot Sure
Landlord's Information
Are you planning on training	YesNoNot Sure
What type of training are you planning on	BasicAdvanceHuntingService Dog WorkOtherNot Sure
Transportation Methods
Does anyone have allergies	YesNoNot Sure
Are they animal related allergies	YesNoNot Sure
Your personal view on spaying/neutering
Reasons you would give up your dog
Have you ever re-homed a past pet	YesNo
If yes, what type of animal and why
Current animals in your home
Have you ever adopted before	YesNo
If yes, from where and when
Are you financially able to care for this dog	YesNo
Place of employment
Emergency Contact #1
Emergency Contact #2
Your Veterinarian
Veterinarian's Phone and Address
Comments and/or Questions
Do you understand the adoption fee's	YesNoNot Sure
Do you understand the fee's are non-refundable	YesNoNot Sure