PLEASE PRINT THIS FORM,
COMPLETE AND MAIL TO ADDRESS ON CONTACTS PAGE. or
copy into Word or Wordperfect, complete and e-mail to cchauncey@efirehose.net. PLEASE
NOTE WE DO NOT ACCEPT LONG DISTANCE LISTING APPLICATIONS OR ADOPTION APPLICATIONS.
HOW TO ADOPT A DOG FROM CALGARY PUREBRED LABRADOR RETRIEVER RESCUE
Calgary Purebred Labrador
Retriever Rescue is a non-profit adoption referral organization dedicated to
placing Labrador Retrievers into new, carefully screened homes. The average age of the dogs
we help to place is 3 to 5 years old. People who apply to adopt a dog through CPLRR must fill out
an extensive application form, explaining why they want a Labrador Retriever, how they
plan to care for the dog and what kind of home they will
provide. When an application is received, it is either approved or declined.
Applicants for dogs may be declined if it is felt they cannot provide a
suitable home for a dog. You should hear within 7-10 days after your
application is received. We will review our listing forms for available
dogs. Approved applicants will then be referred to those dogs most closely
fitting their description of what they are looking for. If a dog that
matches your request turns up in the shelter, we will refer you to the
shelter. You would then have to be approved by the shelter and would adopt
directly from the shelter.
Prospective adopters are
under no obligation to accept any dog referred by CPLRR. If you feel a dog
is not right for you, simply notify us. We will continue to refer applicants
we feel might be suitable until the right match is found. We will do our
best to help you find a dog. However, CPLRR can in no way guarantee an
immediate placement. Adopters should expect to spend some time working with
CPLRR to find the best dog for their requirements. We warn adopters that
dogs in most area animal shelters are kept for a very limited time. The
shelters do not have the space to keep the large number of dogs surrendered
by their owners and turned in as strays. If you are notified about a dog in
the shelter, please respond promptly.
CPLRR charges a
non-refundable $10.00 processing fee to help cover administrative costs.
Actual adoption costs will vary for each dog. We charge a minimum adoption
fee and also ask that our veterinary and transportation costs are covered.
However, if we are successful in helping you adopt a dog, we would very much
appreciate a further donation. CPLRR is non-profit and depends on such
donations to continue operating.
THANK YOU FOR ADOPTING A LAB THROUGH CPLRR!
ADOPTION APPLICATION
The answers you give on
this application help us to find the best possible match between you and the
dogs available through CPLRR. Please fill out the form completely and return
it with $10.00 processing fee to to our mailing
address. If no phone number or personal reference is given, this
application will be discarded.
Name |
Home phone
|
Address |
Workphone |
City |
Province |
Postal Code |
Best time to call |
Occupation |
E-Mail Address |
Personal reference
|
Name |
Phone |
Relationship |
Do you own or rent
your home? |
If rent, do you have
landlord’s permission to keep a dog? |
Landlord’s name and
phone number? |
Do you live in
(circle) |
(house)
(apartment) (trailer)
(other – describe)
|
How long have you
lived at this address? |
If less than one year
give previous address |
Do you have a fenced
yard? |
Fence height & type |
Does fencing
completely enclose a yard for dog? |
If no fence, how will
you handle dog’s exercise and toilet duties? |
Do you have a separate
kennel run? |
Height and size |
How many adults in
household? |
How many children? |
Age and sex of
children? |
Are there regular
visitors to your home, human or animal, with which your new dog must
get along? Describe.
|
Do you own other dogs? |
Are they neutered? |
Give breed, sex and
age of each:
|
Do you own cats? |
How many? |
Any other animals you
own? |
Do you have a regular
veterinarian? |
Name |
Address |
Phone |
How many dogs have you
owned in the last five years? |
Give breed and list if
you still own dog |
If not, what happened
to dog (be specific)
|
Have you owned a
Labrador Retriever before? |
Why did you choose
this breed? |
Circle all plans for
this dog |
(pet) (guard)
(hunting & obedience)
(search & rescue)
(other) |
If other, please
describe |
Do you want to adopt
(circle) |
(Male) (Female)
(No preference) |
Color preference |
Age preference |
I have marked my
preferences above, but would be willing to consider a suitable dog of
a different (circle) |
(sex) (color)
(age) |
Where will the dog
spend the day? (Circle what applies) |
(Loose indoors)
(Crate)
(Basement) (Garage)
(Fenced Yard)
(Loose outdoors)
(Tied up outside)
(Kennel run)
(other – describe)
|
How many hours, on
average, will dog spend alone? |
Where will dog spend
the night? (Circle what applies) |
(Loose indoors)
(Crate)
(Basement) (Garage)
(Fenced Yard)
(Loose outdoors)
(Tied up outside)
(Kennel run)
(other – describe)
|
Do you understand
CPLRR requires this dog to be spayed or neutered? |
Do you agree to
licence this dog and give regular health care? |
Do you agree to
contact CPLRR is you can no longer keep this dog? |
Would you be willing
to have a representative of CPLRR visit your home by appointment? |
If not, why? |
How did you hear about
CPLRR? |
We do not charge for
dogs placed in new homes, other than to recover our expenses. Actual
adoption costs will vary for each dog, discuss this with a CPLRR
representative. Therefore, to continue our work, we ask for a donation
if CPLRR is successful in matching you with a dog. CPLRR is non-profit
and depends on such donations to continue operating.
All of the
information I have given above is true and complete. Should an
unneutered dog be placed with me, I agree to have it neutered within
one month of adoption or by a date agreed upon by me and a
representative of CPLRR. This dog will reside in my home as a pet. I
will provide it with adequate food, water, shelter, training,
affection and medical care. I understand that CPLRR is a referral
service and is not responsible for the accuracy of information
received about the temperament, habits or physical condition of dogs
available for adoption. I understand that it is my responsibility to
see and evaluate the dog for myself before agreeing to adopt it. I am
in full agreement with these terms of adoption. Calgary Purebred
Labrador Retriever Rescue is in no way liable or responsible for any
damage, accident or injury resulting from the placement of a dog into
my household. |
Applicant Signature |
Date |
We reserve the right to refuse an applicant!
Thank you for
contacting CPLRR. One of our representatives should be contacting you
shortly after receiving your paperwork. If you have not received a
response (by phone or mail) in 10 working days, call CPLRR at
934-4965. Leave your name and phone number. Return this form with
$10.00 non-refundable processing fee to our
mailing address.
"Terms of Adoption"
The following
agreement specifies what we feel is required to provide a safe and
loving home for a dog. Please understand that the details of the
contract reflect our concern that both owner and dog have a happy life
together. The conditions set forth are based on years of experience
and a continuing commitment to see that our rescue dogs find safe and
happy permanent homes. We hope that you will understand that
considerable emotional involvement, time and energy go into insuring
that our rescue dogs have the best possible second chance at life. If
I am successful in the adoption of a dog through Calgary Purebred
Labrador Retriever Rescue I herein promise and agree to the following
conditions:
1. To keep this dog
in my personal possession, provide proper and sufficient food, water,
shelter, grooming and humane treatment at all times.
2. If this dog has
not already been spayed or neutered at the time of adoption, I AGREE
TO HAVE THIS DOG SPAYED OR NEUTERED AT MY EXPENSE within thirty days.
Proof of spaying or neutering will be provided in writing to Calgary
Purebred Labrador Retriever Rescue within ten days of surgery. I will
not allow this dog to breed or to be bred under any circumstances.
3. To procure
veterinary care at once if this dog becomes sick or injured and to
keep current all vaccinations against rabies, distemper, parvo and
corona viruses.
4. To provide this
dog with an ID tag secured to a collar which will be worn at all
times. In addition, CPLRR recommends tattooing or micro-chipping as a
means of permanent identification.
5. To obey any and
all animal control regulations governing the area in which I live and
to license this dog according to such regulations within two weeks of
adoption.
6. Not to sell,
trade, transfer ownership, abandon or dispose of this dog in any way,
but to notify CPLRR if I must relinquish custody of this dog. This
includes release to family members.
7. To allow a CPLRR
representative to examine the dog and its living conditions and to
surrender it to said representative for return to CPLRR if the
conditions are found to be unsatisfactory.
8. To assume full
responsibility for this dog’s actions, and for any damage done by this
dog.
9. To keep this dog
as my household pet and companion. To insure that when outside and
unattended, this dog is in a secure fenced yard or kennel run with
adequate shelter from the elements. To exercise this dog within a
fenced yard or kennel run or by walking this dog on a leash, and to
never
allow this dog to
run loose (except in an off-leash dog park) without adequate adult
supervision. To never chain or tie this dog without being in
attendance.
10. To never allow
this dog to be transported in the open bed of a pickup truck or other
similar vehicle.
The undersigned
hereby agrees to abide by the "Terms of Adoption" listed above.
|
Applicant Signature |
Date |
Witness Signature |
Sign
and return this copy with your Adoption Application. No adopter will
be considered without prior consent to the "Terms of Adoption". We
suggest you make a copy for your own records. |
|
|