Personal Information

Applicant's first name: 
Applicant's last name: 
Applicant's age: 
Applicant's phone number: 
Applicant's email address: 
Applicant's employer: 
Applicant's position/title: 
Applicant's work phone number: 
I am the sole applicant:  Yes  No
Co-Applicant's first: 
Co-Applicant's last: 
Co-Applicant's age: 
Co-Applicant's phone number: 
Co-Applicant's email address: 
Co-Applicant's employer: 
Co-Applicant's position/title: 
Co-Applicant's work phone number: 
Co-applicant's relationship to applicant:   Does not apply
 Spouse/Partner
 Parent/Guardian
 Child of Applicant
 Roommate
Address: 
City: 
State*: 
  *LRGR serves Virginia and the Metro Richmond area.
Applications from other states may not be considered.
Zip Code 
Are you currently expecting a child?   Yes  No
Are you considering having children within the next 10 years?   Yes  No  Undecided
Explain how you would resolve issues relating to new children and your dog.
Have you considered the full ramifications of taking a dog into your family for the rest of its life through its illnesses and old age?  Yes  No
Have you considered that having a dog through its lifetime might, over time, require changes to your life, including providing your dog with more frequent opportunities to eliminate, providing your dog with more padding in his/her bedding as old age sets in, or adjusting your routine to allow your dog to avoid stairs later in life?  Yes  No
Please share your experience or questions pertaining to the last two questions:
Average number of days applicant is out of town for business and/or pleasure:    
Average number of days co-applicant is out of town for business and/or pleasure:    

Household Information

Type of dwelling:  Do you own or rent? 
If you rent, an executed copy of your full lease agreement must accompany your application.
If you rent, have you received permission from your landlord to have a dog?  Yes  No
If you rent, is there a weight limit on dogs in your rental property?  Yes  No
If yes, what is the limit? 
Is your yard fenced?   Yes  No
If yes, what kind of fence is it?
[Please include material and height]
Are there any gaps or low areas in the fence?  Yes  No
List all residents of your household other than applicant and co-applicant. Name  Age 
Name  Age 
Name  Age 
Name  Age 
If you have children, what is
their experience with dogs?  
Size of dogs: 
If you have children, how do you plan to prepare your children for the addition of a dog to their family? 
Is anyone home during the day?  Yes  No
Who? 

General Questions

Has the applicant or co-applicant applied to adopt from Lab Rescue before? 
Applicant:   Yes   No    Co-Applicant:   Yes No
If you have applied before, what was the outcome of your application?
If you adopted through Lab Rescue before,
what was the dog’s Lab Rescue name? 
Date of adoption: 
Name of your adoption coordinator: 
Who will be responsible for the dog? 
Why do you want a Labrador Retriever? 
All dogs adopted from Lab Rescue will be spayed or neutered.
Do you have any reservations or questions about this? 		 Yes  No
If yes, explain: 
Where will the dog be kept during the day? (Please be specific.) 
Where will the dog be kept during the night? (Please be specific.) 
Plans for crate use:   No Crate    Reluctant to crate    Crate if necessary    Temporarily crate    Permanently crate  
How much do you think it will cost to take care of your dog each year (food, vet care, license, toys, supplies, training)? $
How will your dog be cared for when the responsible persons are out of town?
If you move, what will you do with your pet?

Pet Care Experience

Have you ever owned a dog before?  Yes  No
Have you ever housetrained a dog before?  Yes  No
Have you ever cratetrained a dog?  Yes  No
Have you ever obedience trained a dog before?  Yes  No
If you answered yes to any of the above,
was your experience as an  		adult as a child, or  both?
If you have trained a dog before, did you do so on your own or with a professional trainer?
Please list all pets (not just dogs) that you have owned in the past five (5) years:
Species Sex Age Altered? Current location
Have you ever had a pet die
at an early age due to an accident?
If yes. please give details:
Have you ever given a pet away or turned a pet over to a shelter or rescue group?
(This includes animals adopted from and then returned to a shelter or rescue group.)
If yes. please give details:
If you saw your dog doing something she or he shouldn’t peeing on the rug, getting into the trash, chewing the cable remote),how would you respond?
Have you read any books or magazines on dog behavior and training?
If yes. please give details:
How do you plan to exercise your Lab?
Do you live near a dog park?
If so, would you use it for your dog?
How will all of your Lab’s outdoor activities be supervised?

Characteristics of Labrador Retriever You Hope To Adopt

Sex?
Color: 
(The choices indicate my) 		 preference or a 
 requirement. 
 I have no color preference.
  Black Yellow Chocolate
Age:
(The choices indicate my)  preference or a 
 requirement. 
 I have no age preference.
Would you consider adopting a dog
over the age of 3 years?
Would you consider adopting a dog
over the age of 5 years?
Energy Level:  High (dog will need plenty of aerobic exercise daily such as jogging, swimming, dog-dog play, or retrieving)
 Moderate (dog will need at least two walks daily plus some play indoors or in a fenced yard)
 Couch potato (dog will be happy with a couple of leisurely strolls or visits to a fenced yard daily)
The energy level choices indicate my:  preference or a 
 requirement.
Please note that it is rare to find a Labrador retriever who is a couch potato unless he or she is beyond middle age. Healthy adult dogs should have at least 30 minutes of aerobic activity daily, but many Labs require more than that.
Please tell us if there are any other qualities that you are looking for in your Lab:

References

Please provide the names and phone numbers of two references. (Neighbors, vets, Lab Rescue volunteers, etc.)
Name:  Phone:
Name:  Phone:
How did you hear about
Lab Rescue of Greater Richmond?
If you have additional information to add to this application, please enter it here:
Before submitting your application, please review our adoption process.
(This PDF document will open in a new window.)
I have read the adoption process and I agree I do not agree to comply with the adoption process.
Before submitting your application, please print it so that you have a permanent record. If you attend an adoption day before you have been contacted by an adoption coordinator, you will need to bring a printed copy of your application.
By submitting this electronic application, I acknowledge that all the information on this form is true and correct. I understand that any misrepresentation of fact may result in the removal of the adopted dog from my home by Lab Rescue.  Yes  No