Labrador Retriever Rescue of Cincinnati, Inc.

Please help us update our records!
* = Required Fields

* Mailing Name (e.g. John and Jane Smith, Smith Family, etc. )
* Address
Address 2
* City
* State
* Zip
* Home Phone (xxx-xxx-xxxx)
Alternate Phone (xxx-xxx-xxxx)
* Email
Alternate Email

* What was the name of the dog(s) you adopted from Labrador Retriever Rescue of Cincinnati?
If you have changed the name of your dog(s) since your adoption, please let us know the new name(s).
Approximately when did you adopt from Labrador Retriever Rescue of Cincinnati? (MM/YYYY)

Are you interested in receiving information regarding adoptions, upcoming awareness events, fundraisers, success stories, or other imporant updates from Labrador Retriever Rescue of Cincinnati

PRIVACY NOTICE: Any information you provide during your visit to www.rescuealab.com, including your email address, home address, telephone number, and any other personal information, will remain private and confidential. We will only use your contact information with your consent so that we may notify you regarding important news or events. Your personal information will not be shared, re-transmitted, or re-broadcast in any form, and will remain within a secured, non-public database with any access limited to authorized Labrador Retriever Rescue of Cincinnati personnel only.

* Please "sign" this form by typing your name and today's date in the following fields:
Name:
Date:

(Last Updated: May, 2006)