DOG LISTING FORM

Dog Listing Form

PLEASE FILL OUT THE FORM BELOW COMPLETELY. CLICK ONLY ONCE ON “SUBMIT LISTING” AT THE END, AND THEN PRINT OUT ALL THE PAGES OF THE COMPLETED FORM THAT WERE SENT TO YOUR EMAIL ADDRESS.

IMPORTANT: If you do not see the email message containing your completed form in your Inbox, please be sure to look for it in your SPAM folder.

If you have multiple dogs you wish to list, please fill out A SEPARATE LISTING FORM FOR EACH DOG. (Multiple dogs are $25 each.)

We regret that we cannot accept a listing for any dogs that are aggressive or have bitten someone.

Please mail a signed copy of your completed form, the required sterilization and vaccination documentation (see below), along with a $25 check made payable to SCLRR for our listing fee, to Southern California Labrador Retriever Rescue, 24325 Crenshaw Blvd. #137 Torrance, CA 90505.

Be sure to include a copy of your dog’s spay/neuter certificate and current (within the last year) vaccinations (rabies and DHLPP). SCLRR CANNOT POST AN OWNER-LISTING FOR ANY DOG THAT HAS NOT BEEN SPAYED/NEUTERED OR THAT IS NOT UP-TO-DATE ON VACCINATIONS.

We will also need a current picture of your dog—you may either email it to us (preferred) using this address SCLRR-PICTURES or mail it along with your completed form and the requested sterilization and vaccination documentation. Failure to include any of these items will delay the processing of your listing application.

Please note: An asterisk* next to a box below indicates required information.

REMINDER: When you’re done filling out this form, please click the “Submit” button ONLY ONCE.

SCLRR is a non-profit tax-exempt rescue organization. The $25 non-refundable donation goes to cover our operating costs including postage, telephone fees, website space, and the time and efforts in matching and interviewing families and dogs. We suggest you make your own copy of this document before mailing it to us. If we are successful in helping to place your dog, we would appreciate an additional donation.

Owner Info
*Owner's first name:		*Owner's last name:
Required format: Please enter all phone numbers below using ONLY the format xxx-xxx-xxxx
*Home phone:		Best time to call:
Work phone:		Best time to call:
Other phone:		Best time to call:
*Address:		*City:
*Zip:		*Email address:

General Info on Dog
*Name of dog:	Is dog co-owned?
How long have you owned this dog?	*Age (or estimate):
*Is the dog a mix?	*Sex:
Weight: lbs.	*Color:
Any markings?	Dog's address (if not with owner):
Breeder's name & address (if known):	Have you notified breeder about need for new home?
What was breeder's response?	Are AKC papers available?
Will you provide to new owner?	If not from a breeder, list source & location:
*If dog from shelter, did shelter request dog be returned to them?	What brand food does dog eat?
How much does dog eat daily?	How many feedings/day?

Health Info on Dog
List veterinarian (name, phone):	*Are shots up to date?
*Will you provide copy of health records to new owner?	*Is dog spayed/neutered?
Does dog have any physical problems?	If yes, describe briefly:
*Allergies?	*On medication? If yes, describe:
If unspayed female, when was her last heat cycle?	Pregnant now?
Has had puppies before?	If intact male, has he been bred before?
*Is dog aggressive to other dogs?	Does dog roam?

Training Info on Dog

Has dog had obedience classes?
If yes, what school/trainer?

Any other training?

Guard	Obedience	Agility
Tracking	Hunting	Other

If Other, describe:

*Housetrained?

*Crate trained?

*Paper trained?

List commands, tricks, skills:

Who in family does dog obey?

Behavior Info on Dog

Dog typically spends days (choose one)

How does dog react to:

Other dogs?		Cats?
Strangers?		Children?
Walking on leash?		Being alone in yard?
Being alone in house?		Being alone in car?
Surprises?		Loud noises?

Does dog:

*Bark excessively?		*Dig?
*Jump fences?		*Chew?
*Show shyness?		*Fight with other dogs?
*Snap or nip at people?		*Growl when you take away food/toys?
*Show fear of children?		*Show fear of men?
*Show fear of women?		*Show fear of other dogs?
If yes to any of the above, please elaborate as needed below:

*Has dog injured/killed other animals?

If yes, describe

*Has dog ever bitten a person?

If yes, describe

*Did wound require medical attention?

*Was bite reported to animal control?

*Was dog quarantined?

What caused this bite?

Personality of Dog
What does dog like best?	Dislike or fear most?
Why is dog up for adoption?	What is the most appealing thing about this dog?
What is the dog's biggest fault?

Bio for dog
Please fill out a paragraph or two in the box on the right to describe your dog to a potentially interested adoptor. Include things like: Dog's personality, how is he with children/other people/other dogs/other pets such as cats? Does he know any tricks (sit, down, etc)? Is he quiet, active, playful? Housetrained? Does he chew, etc?

*Have you tried placing the dog yourself? (describe)
Do you understand that all dogs placed by SCLRR must be spayed or neutered and up to date on their vaccinations? You will be requested to mail or fax copies furnishing proof of spay/neuter & vaccinations for this dog.*		*Do you understand that we may not be able to place this dog due to its age, health, physical condition, temperament, or lack of training?
How did you hear about SCLRR?		*May we give out your phone number to approved applicants who may be interested in your dog?

*I certify that I am the owner of this dog, free and clear of all other interests.		*I certify that this dog is not possessed of any dangerous or vicious propensities and that I have not willfully concealed information about this dog that might indicate such propensities.
*The information I have provided about this dog is true and complete.		*I hereby forever release, discharge and agree to hold harmless and indemnify Southern California Labrador Retriever Rescue, Inc., its Board of Directors, officers, volunteers and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the adoption or other disposition of the above named dog.

Now, click on the "submit" button only ONCE, please. (If for some reason you do not receive an email copy of your listing form after clicking the "submit" button, please contact us regarding the issue).