NOTE: OUR DOGS ARE INSIDE DOGS.

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1 ADOPTION APPLICATION If you have decided you would like to apply for adoption of one of our rescued Labrador Retrievers, please take time to fill out the following adoption form as completely as possible NOTE: OUR DOGS ARE INSIDE DOGS. If you feel you need to keep your dog outside please refrain from taking the time to complete the application. We realize that our form is lengthy, but the information you supply in the form will greatly assist us not only in the approval process, but also in finding the right dog for your family. Thank you for your time and for your interest in a rescued Labrador Retriever! Please note our dogs are inside dogs only. Our Adoption fee is $ Our first contact with you once we receive your completed application will be by from one of our adoption screeners. Name: Spouse/Partner Name: Address: Home Phone Number: Work Phone Number: Cell Phone Number: Street Address: Apt: City: Name: Spouse/Partner Name: Address: Home Phone Number: Work Phone Number: Cell Phone Number: Street Address: Apt: City: State:

2 Zip Code: When is the best time to reach you: How many adults are in the home?: Do all of the adults work outside the home? What is the occupation(s) of adult(s) in the home?: How many children live in the home?: Please give the ages/gender of all the children: Are all the family members in agreement about adding a new pet to your family?: What type of residence do you live in?: Do you? Does your landlord allow pets?: Does your landlord have a weight/size restriction on dogs? Landlord's name/phone number: How long have you lived at your current address?: If less the one year, please list previous address: Does anyone in your family have allergies to animals?: If yes, please explain: Please tell us what you feel being a responsible dog owner entails: Who will be responsible for the care of the Lab you adopt?: Have you ever owned a Labrador Retriever?: If no, do you feel you are truly familiar with the breed?: If you have not owned Labs previously, what kind of research have you done into the Labrador Retriever breed?: Why have you chosen to adopt a rescued Lab?:

3 Where will your Lab primarily live?: What is the average number of hours your Lab will be left alone at a time?: Tell us where you will keep your Lab while it is home alone (Run of the house, in a crate, garage, tied out, fenced yard, etc)?: Tell us where your Lab will sleep at night (be specific)?: Tell us how/when/where you will exercise your Lab on an average day (be specific): Do you have a fenced yard?: If fenced, what type of fencing is it (chain link, board, picket, iron, electronic/invisible)?: If fenced, what is the height of the fence?: If not fenced, how and where will your Lab go to the bathroom?: Do you own a pool? Would you be willing to take your new Lab to basic obedience classes if we felt the Lab (and therefore you) would greatly benefit from such classes?: If no/not sure please tell us why: How far are you willing to travel to meet a prospective Lab?: If you are interested in one of the Labs listed on "Our Dogs" page, please tell us which one:

4 What color Lab do you prefer?: Would you consider another color if the Lab is a good match otherwise?: Which gender do you prefer?: Would you consider the opposite gender if it was a good match?: What age range do you prefer?: Do you currently own another dog(s)?: If yes, please list breed/age/sex: Please list any other pets you currently own. Include type, age, sex: If you currently own a dog(s) and/or cat(s) are they?: Spayed/Neutered? Current on vaccines? Currently on heartworm preventive? What type of heartworm preventive?: If no on any of the above 3, please explain why: Please give your current/previous vet's name, address and telephone number: May we connect your vet?: Please list previous dogs you have owned, as well as why you no longer have them: Please list three references (not family members), their complete address, phone numbers, and addresses:

5 Tell us any additional information that may help us match you to the best dog for your family: State: Zip Code: When is the best time to reach you: How many adults are in the home?: Do all of the adults work outside the home? What is the occupation(s) of adult(s) in the home?: How many children live in the home?: Please give the ages/gender of all the children: Are all the family members in agreement about adding a new pet to your family?: What type of residence do you live in?: Do you own or rent? Does your landlord allow pets?: Does your landlord have a weight/size restriction on dogs? Landlord's name/phone number: How long have you lived at your current address?: If less the one year, please list previous address: Does anyone in your family have allergies to animals?: If yes, please explain: Please tell us what you feel being a responsible dog owner entails: Who will be responsible for the care of the Lab you adopt?: Have you ever owned a Labrador Retriever?: If no, do you feel you are truly familiar with the breed?: If you have not owned Labs previously, what kind of research have you done into the Labrador Retriever breed?:

6 Why have you chosen to adopt a rescued Lab?: Where will your Lab primarily live?: What is the average number of hours your Lab will be left alone at a time?: Tell us where you will keep your Lab while it is home alone (Run of the house, in a crate, garage, tied out, fenced yard, etc)?: Tell us where your Lab will sleep at night (be specific)?: Tell us how/when/where you will exercise your Lab on an average day (be specific): Do you have a fenced yard?: If fenced, what type of fencing is it (chain link, board, picket, iron, electronic/invisible)?: If fenced, what is the height of the fence?: If not fenced, how and where will your Lab go to the bathroom?: Do you own a pool? Would you be willing to take your new Lab to basic obedience classes if we felt the Lab (and therefore you) would greatly benefit from such classes?: If no/not sure please tell us why:

7 How far are you willing to travel to meet a prospective Lab?: If you are interested in one of the Labs listed on "Our Dogs" page, please tell us which one: What color Lab do you prefer?: Would you consider another color if the Lab is a good match otherwise?: Which gender do you prefer?: Would you consider the opposite gender if it was a good match?: What age range do you prefer?: Do you currently own another dog(s)?: If yes, please list breed/age/sex: Please list any other pets you currently own. Include type, age, sex: If you currently own a dog(s) and/or cat(s) are they?: What type of heartworm preventive?: Spayed/Neutered? Current on vaccines? Currently on heartworm preventive? If no on any of the above 3, please explain why: Please give your current/previous vet's name, address and telephone number: May we connect your vet?: Please list previous dogs you have owned, as well as why you no longer have them: Please list three references (not family members), their complete address, phone numbers, and addresses: Tell us any additional information that may help us match you to

8 the best dog for your family: By submitting this form I declare that I am at least 21 years of age and that all the information on this form is true and correct. I understand that any misrepresentation of the facts may result in my not being approved to adopt a Lab or the removal of the adopted dog from my home by Texas Lab Rescue. Texas Lab Rescue reserves the right to refuse or deny any application and/or adoption. Since we are volunteers with full time jobs and/or other commitments it does sometimes take a few days to get back to you. Our first response will be by . If you do not hear from us within a few days PLEASE let us know as we may not have received your application! Thank you for your patience and understanding.

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