Home Information Form – Test Use Case

    Thank you for your enquiry. Please take time to read and complete the form. It will then be sent the appropriate area co-ordinator, who will contact you to arrange a home visit. We would appreciate your patience, we are all volunteers, but we are passionate about the welfare of our Labradors.

    * required fields.

    Section 1 - You, your family and property

    Adults who live at your home select numbers

    YesNo
    YesNo
    YesNo

    Section 2 - Previous and present pets

    YesNo
    YesNo
    YesNo

    Section 3 - Your Labrador

    YesNo

    Section 4 - General Information

    YesNo
    YesNo

    Please state your reasons for wanting a dog now, and a Labrador in particular, and any other relevant information that you think may be useful in the box below.*

    Section 5 - Your commitment

    Before taking on a dog you will be required to enter into an Adoption Agreement with the LRSE&C and we will retain lifelong responsibility for that dog. In the event that you are unable to keep the dog, we MUST be contacted to arrange a new home.

    Please consider carefully the long-term responsibility, and financial commitment which begins as soon a the dog is placed with you.

    YesNo
    YesNo
    YesNo
    YesNo
    YesNo
    YesNo