Adoption Application

Saving one wagging tail at a time.

Wednesday, March 10, 2010

Adoption Application

Please fill out the application COMPLETELY. An incomplete application may cause a delay in processing. Your information is used exclusively by RMLR and will at no time be sold or available to third parties.

Please realize that we are a completely non-profit organization and our volunteers provide their own time, money, and gas to help out the organization. Please only apply for a dog if you are seriously interested. We don't want to wast our volunteers resources on applicants that aren't serious in adopting one of our labs and a family that is merely 'shopping'. Thank you for your application and your interest in rescuing a lab from the Rocky Mountain Lab Rescue.

Terms of Adoption (You must initial each box in order for your application to be processed)

The adoption fee for most Labrador Retrievers varies based on age, which helps to partially defray the veterinary and boarding expenses we incurred in rescuing and caring for the dog. Labrador Retrievers if old enough will have be altered, given all necessary inoculations including a Rabies shot, stool tested for parasites or given deworming medication, and given other medical treatment needed for problems RMLR is aware of and can treat before adoption. Any and all adoption fees are non-refundable.

Enter Initials:*

If, for any reason, the adoption is not satisfactory for the Labrador Retriever or for the adoptive owner, RMLR needs to be notified as to where the dog would be rehomed. RMLR would prefer if you returned the dog. RMLR reserves the right to take back any dog if it is ever neglected, improperly cared for, or allowed to become a nuisance to others. Please note, if you return a dog, only half of the adoption fee is refundable and the other portion is used to care for other dogs of the rescue.

Enter Initials:*

All dogs are microchipped before being adopted. They will be registered under RMLR’s contact information. If your Labrador is lost and is not wearing an appropriate ID tag, we will be contacted by animal control if the dog is picked up. We will return the dog to you for the cost of the retrieval fee from the shelter as we see fit for the dog.

Enter Initials:*

If adopted, this Labrador Retriever must be licensed in accordance with existing laws in the adoptive owner’s town, county, and state, and the Rabies vaccination must be kept current for the dog’s life.

Enter Initials:*

The adoption fee for puppies that have not been altered due to age covers all of their microchipping, inoculations, and deworming medication up to the point of adoption. RMLR will pay for the altering of your lab at our veterinarian at the appropriate age. An additional $100 will be collected as a deposit and guarantee that the puppy will be altered at the appropriate time. The $100 will be returned to you once altering has been completed. If you choose to have your Labrador altered at your vet rather than RMLR’s, RMLR will take your $100 deposit and pay it directly to your veterinarian and will require proof of altering.

Enter Initials:*

Puppies more often, but all dogs can acquire Gairdia from standing water and Colorado soil. RMLR does not vaccinate for Gairdia as it is not always necessary. If your Labrador does contract Gairdia after the point of adoption, any medical costs will be yours.

Enter Initials:*

The adoptive owner agrees to provide proper shelter high quality food as advised by RMLR, 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 Rocky Mountain Lab Rescue without refund.

Enter Initials:*

The adoptive owner agrees to follow a regular inoculation program established by your veterinarian. Your dog will need an annual veterinary visit with Rabies boosters in accordance with provincial regulations.

About You

Your Name:*

Age:*

Profession:

Name of co-applicant:

Age:

Profession:

Address:*

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

Best time to call:

DaytimeEvening

Email:

Are you prepared to adopt a rescued Lab now?

YesNo

If no, then when?

About Your Current/Past Pets

Do you have another dog(s)?

YesNo

If yes, please describe your dog(s)

Dog 1

Dog 2

Breed or type of mix:

Age:

Gender:

Spayed and/or neutered:

YesNo

Around other dogs, your dog is:

Do you have a cat?

YesNo

If yes, tell us about your cat(s):

Has your cat been around dogs?

YesNo

What is your cat's reaction to dogs?

If your cat and rescue dog do not get along at first, what would you do?

How long would you be willing to wait to see if things work out?

Are you aware that introducing a rescued dog to your cat might require considerable time and training and that occasionally the introduction fails?

YesNo

Please list the names, sex, and ages of each feline resident, as well as whether each is spayed or neutered:

Please list the types, names, sex, and ages of each of your other pets, as well as whether each is spayed or neutered:

Previous Dog Ownership

Have you owned a lab before?

YesNo

Have you previously owned other types of dogs?

YesNo

What happened to them?

Have you ever adopted a dog from a shelter or rescue organization before?

YesNo

Have you ever surrendered a pet of your own to an animal shelter or rescue organization?

Have you ever sold or given away any of your own pets?

About Your Interest In Adopting A Rescued Lab

Why would you like to adopt a rescued Lab?

How have you educated yourself about this breed?

What information do you know about the characteristics of the Labrador Retriever breed?

Who will be responsible for the primary care and training of your rescued Lab?

What is the youngest lab you would consider?

What is the oldest lab you would consider?

Please indicate your preference for your Lab’s gender:

MaleFemaleEither

What is your preferred temperament?

What are two things that are considered “negative about Labrador Retrievers?

Are you aware that in some cases our rescued Lab mixes are of unknown parentage?

YesNo

Would you accept a rescued Lab requiring medication?

YesNoMaybe

Would you accept a rescued Lab with special needs?

YesNoMaybe

What kind of regular daily exercise would you give your rescued Lab?

Describe the activities you will participate in that include your dog:

About Your Home Environment

Home Ownership:

OwnRent (Landlord Permission Required)

Live with parents/relatives?

YesNo

List names and ages of all human residents in your home.

Does every member of the household want a new dog?

YesNo

If so, why?

If not, why not?

What are the ages of children who live with you or visit regularly?

Is your residence a

House
Apartment
Town Home
Condo
Other

Do you have a fenced yard?

YesNo

Is your yard currently securely fenced?

YesNo

How high is your fence at its lowest point?

What type of fence do you have?

Will you use a chain, tie-out or other stationary system to restrain your dog when s/he is outside?

YesNo

How large is your yard (approx sq ft)?

How long will the dog be left alone?

How many days a week will the dog be left alone?

Where will your dog be when your family is home?

Where will your dog be when your family is not home?

Where will your dog sleep at night?

How will you train the dog?

informal obedience training at home
enrollment in an obedience class
do not plan to train the dog

How will you discipline your dog?

Who will be responsible for the care and training of the dog?

Your Health & Behavior Plan

Please provide your current or former vet’s name and phone number:

Tell us about the routine healthcare you would provide to keep your Lab healthy:

Are you familiar with Heartworm Prevention?

YesNo

What brand of food do/would you feed your dog?

What is your estimate of the routine yearly expense of owning a Lab?

What does this figure include?

Are you aware Labs are predisposed to hip, knee, elbow, eye, ear and skin problems

YesNo

Do you object to the use of a crate?

YesNo

Crating is an effective way of keeping your dog and home safe when you are not there. RMLR endorses the use of crates as a means of safety, training and security for the dog. Please talk to your RMLR contact during your phone interview about crating if you have any questions

Do you have a crate?

YesNo

Would you get one?

YesNo

What will you do if your dog is destructive when left alone?

Are you willing to attend obedience classes with your dog?

YesNo

Have you ever trained a dog before?

YesNo

What were your goals and were you successful?

How much time are you willing to devote to training/re-training your rescued Lab?

What will you do with your rescued Lab if you move?

What circumstances would make you surrender your rescued Lab?

Are you willing to give a rescued Lab at least 3 months to adjust to you, your family and his new environment?

YesNo

Please tell us what you and your home environment have to offer a rescued Lab that has been neglected or abandoned:

Some Final Questions

Please tell us which dog(s) on the web site is/are of interest to you:

Would you consider fostering until the appropriate dog for you came along?

Yes
No

Why do you want a Labrador Retriever?

How did you hear about RMLR?

Have you applied for adoption from any other rescue?

YesNo

If yes, which one(s)?

Please list two names and contact information of individuals who do not live with you who can provide information about your treatment of pets.

Agreement

I understand:(You must check each box in order for your application to be processed)

That if for ANY reason you must get rid of or re-home your adopted dog you will let RMLR know where the dog will reside. We will take back ANY dog that we have adopted out.

If I rent my home, my application will not be reviewed until approval from my landlord is received

I must be at least 21 years old to adopt a rescued Lab

There is often little or no prior history on our rescued Labs

Most of our rescued Labs have had little or no training and all require basic obedience training at a minimum.

Labs are active dogs who are members of the Sporting Group and require at least one hour of exercise a day

A home visit will be conducted

Additional Comments/Questions:

I attest all information provided above is true. I promise to care for my Lab to the best of my ability with the full intent of keeping the Lab for the duration of its life. I also agree to keep a buckle collar, ID tag and RMLR tag on the dog, provide quality dog food, adequate shelter, vet care and training as needed. I understand that any inaccuracies shall result in my application being suspended.

I understand and agree that RMLR has the right to refuse my application if application or home situation is deemed by the RMLR as not appropriate for a rescued Labrador. You also agree and give permission to RMLR 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 submitting this information, you agree to:

1. Not transporting this dog unconfined in an open vehicle.
2. Not leave the dog unattended in any vehicle, as temperatures can escalate to a fatal level within five minutes.
3. Regularly check the tightness of any collar and to remove choke chains or other training collars from the dog when the dog is unattended.
4. Seek assistance from knowledgeable sources, including but not limited to RMLR personnel, veterinarians, behaviorists, or obedience trainers when problems with the dog's behavior arise.
5. Comply with all local, state, and federal ordinances, laws, statutes, and regulations concerning animal ownership or guardianship, including but not limited to licensing requirements.
6. Provide suitable confinement for the dog. Under no circumstances is the dog to be routinely tethered as a means of confinement.
7. Provide for suitable care if the Adopter(s) will be absent from the home.

I have read and agree to the RMLR policies stated above.

Electronic Signature of Applicant:*

Electronic Signature of Co-Applicant:

Date:*

Our adoption fees are:

Under 12 months 12 months – 6 years 7 years – senior

Rescue Labrador $250 $225 $175

If adopting multiple Labs at one time, adoption fees may be reduced (as decided on a case by case basis by RMLR Board). All adoption fees are pooled to provide medical care for all of our dogs. Except in special cases, all of our Labs are spayed/neutered and vaccinated before going to their new homes.

Submit

* Required