Adoption Application


Adoption Fees: $175 for adult dogs and $200 for puppies. All Heartland Lab Rescue dogs are current on medical care, spay and neutering is taken care or will be taken care of, all vaccinations as well as flea and tick medication and heartworm preventative are current.

These fees do not cover the costs incurred by dogs in our program as an average cost for each dog is about $450. In addition to this you are also helping to save the lives of very deserving Labradors. Each day there are labs that we have to pass up because we do not have the resources in funding or foster homes to put them in.

Please note we communicate primarily via email. We simply cannot keep up with the volume of applications we receive via phone. Someone will contact you via email within 48-72 hours of receiving your applications, so please check your inbox and junk mail folders regularly.

PERSONAL INFORMATION:

Full name of Applicant:
Spouse (if applicable):
Address:
City:
State:
Zip:
Email 1:
Email 2:

*note, we communicate primarily through email.
Home Phone:
Cell Phone:
Work Phone:
Employer:

What are the ages of the people living in your home:

HOUSING INFORMATION:

Do you live in a
How long have you lived at your current address?

Do you own or rent?

If you live in military housing, are you aware of special regulations concerning pets?

If you rent, please provide a name and number to your current landlord.

Landlord name:
Landlord phone:

Do you plan to move soon?

Does your home have a fenced yard?

If yes, please provide a description of your fence including type of fence and height.

Does your home have a swimming pool?

CURRENT AND PAST PET INFORMATION

Please include information for any pet you now own or have owned in the past 5 years:

Pet #1

Name:
Breed:
Sex: M/F
Spayed or Neutered?
Current on Vaccinations?
Current on Heartworm Prevention?
Age:
Where is the dog now:
Pet #2

Name:
Breed:
Sex: M/F
Spayed or Neutered?
Current on Vaccinations?
Current on Heartworm Prevention?
Age:
Where is the dog now:
Pet #3

Name:
Breed:
Sex: M/F
Spayed or Neutered?
Current on Vaccinations?
Current on Heartworm Prevention?
Age:
Where is the dog now:
Pet #4

Name:
Breed:
Sex: M/F
Spayed or Neutered?
Current on Vaccinations?
Current on Heartworm Prevention?
Age:
Where is the dog now:

If your animal(s) are not spayed and/or neutered, please explain why:

Please provide your veterinarian's name, clinic and phone number:
Vets Name:
Clinic Name:
Vets Phone
2nd Vets Name:
Clinic Name:
Vets Phone
*We will not be able to process your application without this information (unless you do not have any prior vet history).

If you had a pet that died at a young age or you got rid of a pet after owning it a short time, please explain the circumstances:

ADOPTING A NEW DOG

Have you ever owned a Labrador Retriever before?

Are you willing to take time with your newly adopted Labrador Retriever to provide him/her with proper training, including crate training, house training and obedience training?

Will your Lab mainly stay indoors or outdoors?
Do you own a crate?
Where will the dog be kept during the day?
Where will the dog be kept during the night?
Where will the dog stay when you travel?
What kind of accommodations do you have for the dog in the cold?
Are you willing to crate train your Lab?
Have you ever sold, given away or put a pet in the shelter?

If yes, please explain the circumstances:

Are you willing and able to provide financial responsibility for your adopted Lab to provide him/her with quality dog food and proper medical care as advised by your veterinarian?.

Do you have any objections to having your home inspected by HLR volunteer?


Labradors need a lot of attention and have been known to chew/eat carpet, shoes, clothes, dig, bark, etc. How do you plan to handle these types of behavior and obedience problems?:

 


What would, in your opinion, constitute a reason for not keeping the dog?:

 

WHAT TYPE OF DOG ARE YOU INTERESTED IN?:

What are your reasons for wanting a dog?
Companion, Guard Dog, Playmate for Current Dog, For Child, Guard Dog, To Breed, Gift, Hunting, etc.:

Do you have a gender preference?

If so, what gender?

Please list other criteria for a Lab that would fit well into your home:

Do you have an age preference?

Do you prefer to adopt a male or a female?

Do you have a color preference?

Please list specific dogs you are interested in:
Please understand some dogs may already have pending applications.


REFERENCES:

Please provide two personal references (the references can be related to you):

Name:
Years Known:
Day Phone:
Evening Phone:


Name:
Years Known:
Day Phone:
Evening Phone:


Any questions about the breed we can answer?


Tell us why you want to adopt a Labrador Retriever:

Have you applied with other rescue groups or are you in the process of applying with another group?

How did you hear about us? if "other", please specify:

Additional Comments:

Heartland Lab Rescue survives on the help of volunteers and resources from our supporters. Would you be able to volunteer or offer resources to help in the mission?

Thank you again for your interest in Heartland Lab Rescue. We are run solely on volunteers that have full time jobs and families, it may be a day or two before we are able to contact you. The application process typically takes 4-6 days from when you submit the application.

Additionally, should you adopt elsewhere in the meantime, we would sincerely appreciate your courtesy in letting us know, so that our volunteers can move onto other applications.