Labrador Friends of the South, Inc. P.O. Box 933 Cumming, GA 30028 Prospective Owner Application NOTE: failure to complete required questions will result in application not being processed. Thank you for your interest in adopting. We would appreciate you answering the following questions so that we can best determine compatibility between you and the dog in question. All questions on this application must be answered, and an application fee of $15.00 must be submitted for your application to be processed. If a question is not applicable please mark as such. Thank you for your help and cooperation. HOW DID YOU HEAR ABOUT US? __________________________________________ ARE YOU WORKING WITH OTHER RESCUE GROUPS? IF SO, PLEASE NAME: ________________________ NAME OF DOG INTERESTED IN: _________________________________________________ NAME: ____________________________________ ADDRESS: ________________________________ CITY: _______________________________________ STATE: _____ ZIP: ________________________ PHONE: (Home): _______________________________ (Work)_________________________________ DATE OF BIRTH: ____________________________ (required)  DRIVERS LICENSE NUMBER: ____________________________ STATE: ______________________(required)  E-MAIL ADDRESS: ____________________________ FAX NUMBER: __________________________ BEST TIME TO CALL: __________________________ OCCUPATION: _________________________ DO YOU RENT OR OWN? ___________________ (Circle One): House Apartment Trailer Other: ____ IF YES TO RENT, WHAT IS THE PHONE NUMBER OF YOUR LANDLORD? ___________________ (required)  DO YOU HAVE A FENCED HOME OR AREA FOR THE DOG? (Please describe): _________________ ______________________________________________________________________________________ PERSONAL DATA: AGE: _____ MARITAL STATUS _____  IF MARRIED, DOES HE/SHE KNOW OF AND APPROVE OF THE DOG? _____ ANY CHILDREN? _____  IF YES, WHAT ARE THEIR AGES? ______________ IS ANYONE IN YOUR FAMILY ALLERGIC TO DOGS? ______________ DO YOU OWN OTHER DOGS AND OR CATS? _________ HOW MANY? ___________________________  LIST BREED, SEX, AND AGE OF EACH DOG THAT YOU OWN: __________________________________ _________________________________________________________________________________________ ARE THEY SPAYED/NEUTERED? ___________________________________________________________ YOUR CURRENT VETERINARIAN: _______________________________________________ (required)  ADDRESS: ____________________________________ PHONE: __________________________________ DO YOU TRAVEL FREQUENTLY? ________________________ HOW MANY HOURS ON THE AVERAGE PER DAY WILL THIS DOG SPEND ALONE AT YOUR HOME? _________ ________________________________________________________________________________________ DESCRIBE THE LAST DOG YOU OWNED AND WHAT HAPPENED TO IT? __________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________ WHY ARE YOU INTERESTED IN OWNING A LABRADOR RETRIEVER? ____________________________________________________________________________________________________________________________________________________________________________________________________ ARE YOU COMMITTED TO CARING FOR THIS DOG FOR ITS LIFETIME? _________________________ WHERE WILL THE DOG STAY DURING THE DAY? ___________________________________________ AT NIGHT? ______________________________________________________________________________ ARE YOU WILLING TO PURCHASE A CRATE IF NEEDED? __________________ WILL YOU TAKE THIS DOG TO OBEDIENCE CLASS? _______________________ DO YOU CONSIDER YOURSELF FINANCIALLY STABLE ENOUGH TO PROVIDE PROPER DIET AND MEDICAL CARE FOR A LABRADOR RETRIEVER, INCLUDING EMERGENCY TREATMENT IF NEEDED? ________________________________________________________________________________________ IT MAY TAKE 2-3 WEEKS FOR THE DOG TO SETTLE IN YOUR HOME. DO YOU UNDERSTAND THIS AND ACCEPT THE DOG MAY HAVE SOME ANXIETY THE FIRST FEW WEEKS UNTIL HE GETS USED TO HIS NEW HOME? ARE YOU WILLING TO GIVE THE DOG SOME TIME TO ADAPT TO HIS NEW SURROUNDINGS? ____________________________________ ARE YOU AWARE THAT THERE IS AN ADOPTION FEE OF $275? IF THIS IS FOR A PUPPY, THE FEE IS $275 + $100 SPAY OR NEUTER DEPOSIT THAT YOU WILL GET BACK ONCE THE DOG HAS BEEN SPAYED OR NEUTERED. ________________________________________________________________ I UNDERSTAND A HOME VISIT MAY BE CONDUCTED PRIOR TO MY BEING APPROVED TO ADOPT? ________________ PERSONAL REFERENCE: _______________________________________________________________________ RELATIONSHIP: _____________ ADDRESS: ____________________________ PHONE: _____________________ SIGNATURE: _________________________________________ DATE: ______________________ WE RESERVE THE RIGHT TO REFUSE AN APPLICANT