Adoption Application
Las Vegas Labrador Rescue
North Las Vegas, NV 89031
www.LasVegasLabradorRescue.com
**PLEASE NOTE - Please complete the application entirely. If a question does not apply to you, please mark N/A. If any field is left blank, it will delay in the processing of your application.**
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Have you sent your $20 application fee? If so, how?
(*Please note, your application will not go in line to be processed until your application fee is received by LVLR*)
Name: Application Date:
Age:
Address:
City/State/Zip:
Home phone:
Work phone:
Cell phone:
Best time to call each/any number:
E-mail Address:
May we contact you via email?
Place of work: (all working family members)
PLEASE NOTE: You must complete the entire application. Incomplete applications will be returned for completion, thus slowing the application process.
Please list and describe your current dog(s) first, and then any other dog that you were the primary caretaker. If you do not have any current dogs, please check box below.
[ ] No other dogs
Name
Breed
Age
Gender
Spayed/Neutered?
Dog, owned now, or deceased?
Has your current dog ever lived with another dog? Was it a male or female? Spayed or neutered? If so, how well did they get along?
If applicable, how long has your current dog been an “only dog”?
Why do you especially want to own a Labrador Retriever, vs. other breeds?:
Have you ever had to give up a dog/give it away/euthanize a dog for behavioral issues?
If so, please explain the circumstances:
Do you have any other animals?
Please list what you have, if they are spayed or neutered and note whether they’ve ever lived with a large dog before: (For instance, cats, pet rodents, birds, etc.)
Is your dwelling a:
House? Apartment? Townhouse/Condo? Other?
Do you own or rent?
If you rent, we require written landlord consent to bring animals onto property. Please provide name, address and phone of landlord below, and include written consent w/application BEFORE submitting application!
Do you have a fenced-in yard or fenced area attached to your house?:
If yes, what type of fencing? And how high?
Is fenced area attached to the house?: Yes No
If not attached to the house, how far away is it from the house?:
If you do not have a fenced area attached to your house, would you be willing to install one or adopt a more appropriate Senior Labrador Retriever?
Are you aware of any distractions outside your yard that could plague the dog while he is out? (Such as neighbors dog or cat, loose dogs on street, mischievous children, neighbors who do not like dogs)? Please list these things – we just want you and LVLR to be aware of them:
Do you have a pool? [ ] Yes [ ] No
If Yes, is it above-ground, or in-ground?
Please tell us about all people an adoptive Labrador Retriever would usually come in contact with, including your spouse, roommates, children, neighborhood children, grandchildren, friends, relatives, etc.:
Name
Age
Relationship to you
Lives with you?
Visits how often?
Name
Age
Relationship to you
Lives with you?
Visits how often?
Where will your Rescue Labrador Retriever sleep at night?
Where will your Rescue Labrador Retriever stay during the day when you are home?
Where will your Rescue Labrador Retriever stay during the day when you are NOT home?
What is your expectation regarding a rescue dog's obedience training level?
Completely trained _____
Somewhat trained _____
Untrained okay _____
Are you familiar with crate training? Do you own a crate?
When you say "the dog is obedience trained" - what do you mean?
Please describe in detail what behaviors in a dog or what training is important to you, and describe (on the back of this sheet) how you would train the dog to exhibit these behaviors. If you don't know how you'd train for some behaviors, please just note that.
Who is your Veterinarian?
Name and Address:
Telephone:
If you do not yet have a Veterinarian, whom do you plan on using? (We can recommend someone if you do not know)
Please list the names of two references. References should have a strong feeling for what you are like as a dog owner and should NOT be related to you. (Note – please print legibly) (MUST have two, otherwise application will not be processed!)
References
1. Name:
Phone:
Relationship to you:
2. Name:
Phone:
Relationship to you:
The basic needs of a healthy Labrador Retriever (feeding, well-dog vet visits, etc.) can cost approximately $500-800 per year! Any health or behavioral problems with the dog could increase this amount. You need to anticipate that the dog could need emergency surgery, or you might want to take the dog to additional training classes, etc. This cost is something you need to be ready for.
Does this financial responsibility present a problem? [ ] NO [ ] YES
Can you make the full adoption donation for the dog at the time of adoption? The adoption fee can range from $175 and up.
Under what circumstances would you find it necessary to get rid of, or re-home your Rescue dog?:
Moving?
Change in schedule?
Marriage to somebody who doesn’t like your dog?
Divorce?
New Baby?
Current pets don’t like new rescue dog?
Illness?
Other (please specify):
***By signing this application, you are acknowledging that if for ANY reason you must get rid of or re-home your LVLR adopted dog, you MUST contact LVLR before taking ANY action. LVLR will take back ANY dog that they have adopted out.****
Have you applied anywhere else within the past year to adopt an animal? If so, where?
Please describe the perfect dog for you. What characteristics are you looking for?
As you answer this, please think about your lifestyle - are you active, in and out a lot, are there lots of people/children around, etc., or are you more sedentary, quiet, with few visitors? What personality in a dog would best fit your family's needs and lifestyle? Would your dog go with you everywhere or stay at home with you a lot? Do you have other pets that need consideration?
Of all of the characteristics you listed above for your perfect dog, please note the 2 things that are most important to you:
1.
2.
How did you hear about LVLR? :
My signature below indicates that I am at least 21 years of age and intend to be the legal owner and the person responsible for the care and well-being of any dog I adopt from Las Vegas Labrador Rescue (LVLR).
In signing this application below, I give representatives of LVLR permission to contact my veterinarian, references, and landlord if that applies, for information to aid in the evaluation of whether a Rescue Labrador Retriever is appropriate for me, and my current living situation.
SIGNATURE: ____________________________________________
DATE: _________________________
*For electronic applications, please type in your name/date. This will act as signature.
Please fax or e-mail your signed, completed Adoption Application and Terms of Adoption form (and if applicable, written landlord consent) to:
Fax care of:
Lisa or Brenda
Las Vegas Labrador Rescue
(702) 645-0945
E-mail:
Luvmylabs130@cox.net
Terms of Adoption
The adoption donation fee for most adult Labrador Retrievers is $200, which helps to partially defray the veterinary and boarding expenses we incurred in rescuing and caring for the dog. The donation for Senior dogs and Special Needs dogs is usually $175. Puppies can range from $225 and up. Adult Labrador Retriever will have been neutered or spayed, given all necessary inoculations including a Rabies shot, stool tested for parasites, and given other medical treatment needed for problems that LVLR is aware of and can treat, before adoption. Any adoption fee is non-refundable.
If, for any reason, the adoption is not satisfactory for the Labrador Retriever or for adoptive owner, LVLR requires that the dog MUST BE RETURNED, at adoptive owner’s expense, to LVLR. The dog may NOT be sold or given to a new owner. LVLR reserves the right to take back this dog if it is ever neglected, improperly cared for, or allowed to become a nuisance to others. Please note, if you return a dog to LVLR, the adoption fee is also non-refundable.
The adoptive owner must sign a legal release before visiting any Rescue dogs, and sign a legal contract at the time of adoption to protect him/herself, Las Vegas Labrador Rescue and its representatives, and the Labrador Retriever involved in the visits/adoption process.
All dogs will be microchipped before being adopted out. LVLR requires you register that chip within 7 days of adoption. By signing the application, you are promising to comply.
If adopted, this Labrador Retriever must be licensed in accordance with existing laws in the adoptive owner's town, and the Rabies vaccination must be kept current, for the dog's life.
The adoptive owner agrees to provide proper shelter, high quality food as advised by LVLR, and proper medical care, and agrees that this dog will not run free without supervision, be chained out, be allowed around children under 14 years without adult supervision present (Varies by dog), be allowed to ride loose in the back of a truck, or be used for guarding purposes. Failure to comply with these terms will require that the dog be surrendered immediately and returned immediately to Las Vegas Labrador Rescue, without refund.
Las Vegas Labrador Rescue recommends that you follow a regular inoculation program established by your veterinarian.
Your dog will need an annual veterinary visit with a Rabies booster in accordance with provincial regulations.
LVLR strongly suggests that adopter enroll in an obedience training program with your adopted Rescue dog to increase the bond between you, and to be sure you know how to teach your dog basic pet obedience exercises and rules.
By signing this document, I give LVLR the right to check with other rescue groups, humane societies, or my veterinarian and/or to share information about my application with said other groups or with my veterinarian.
By signing this document, I understand and agree that LVLR has the right to refuse my application if application, or home situation, is deemed by the LVLR Board of Directors as not appropriate for a Rescue Labrador Retriever.
I also understand that any misrepresentation of the true facts in this application or in the adoption agreement will invalidate the adoption agreement and will give LVLR the right to reclaim the adopted Labrador Retriever without refund of the adoption fee.
My signature below indicates that I understand these Terms of Adoption and agree to abide by them if I adopt a dog from Las Vegas Labrador Rescue.
My signature also indicates that I am willing to have a person representing Las Vegas Labrador Rescue visit my home (for a Home Visit interview) by appointment prior to adoption proceedings.
SIGNATURE: ______________________________________________
DATE: __________________________