Pugalug Club Pug Rescue Application Form Note: A $10 application fee is required.
You can pay your application fee through Paypal by clicking the "Make a Donation" button on the home page. Alternatively you can send a cheque or money order, payable to Pugalug Club, to: Pugalug Club P.O. Box 1421 Toronto Station 'K' Toronto, ON M4P 3J7
Please answer all of the questions as completely as possible. The more details you give us, the easier it will be to match you with the best dog for your family.
Please be sure to fill out all applicable fields, as incomplete applications will not be processed.
Please understand that this process is necessary to ensure a lifelong partnership and "forever home" for our rescue Pugs. We reserve the right to refuse adoptions.
STREET:
CITY: PROV: POSTAL CODE:
HOME TELEPHONE:
EMPLOYER: WORK TELEPHONE:
SPOUSE'S NAME:
SPOUSE'S EMPLOYER: SPOUSE'S WORK TELEPHONE:
AGE:
Are you expecting a child or planning a family? Yes No
Does your or your spouse's job require frequent out of town travel? YesNo
Are you or your spouse subject to relocation? Yes No
Have you applied to any other rescue(s)? YesNo
If yes - which ones?
How many children are living at home?
Names and ages of all children included above?
Besides your immediate family, are there others residing in your home? YesNo
Names of other residents and their relationship to you?
Is anyone in your home allergic to animals? Yes No
Does anyone in your home have asthma? Yes No
Do you rent or own? Own Rent
If renting, please provide the name and phone number of your landlord:
Please describe your type of dwelling:
How long have you lived at your current address
If less than 2 years, please provide your previous address:
Does your home have a yard? Yes No
Do you have air conditioning? Yes No
Does fencing completely enclose the yard for your dog? Yes No
If the yard is not fenced, please explain where and how you will allow the dog to exercise and relieve itself?.
If the yard is fenced, please describe what kind of fence.
How tall?
Can the gate be locked? Yes No
Can strangers gain access to your yard from the street? YesNo
Do you have a pool? YesNoIs the pool area completely enclosed or fenced? Yes No NA
Do you have other pets at this time? Yes No
If Yes, are they spayed or neutered? Yes No
Are they currently on Heartworm preventative? Yes No
Do they live outdoors or indoors? Outdoor Indoor
Please describe your pets in detail?
What pet food are you feeding your pet(s)?
Have you ever owned a Pug before? YesNo
Have you owned other dogs in your adult life? YesNo
If you have owned other dogs, please provide details
What role would you like your Pug to play in your life?Companion/PetObedienceTherapyProtectionOther
If other, please specify:
Why adopt a Pug?
Please describe where the dog will stay when you are at home
Please describe where the dog will stay when/if you are at work?
Please describe where the dog will stay when you are on vacation?
Please describe where the dog will sleep at night?
How many hours a day will the dog be alone?
Do you plan to use a crate - - why or why not?
What kind of solutions would you be willing to try if housebreaking accidents occur?
Have you ever given up an animal to a shelter or found a new home for an animal in your care? YesNo
If Yes, please explain the circumstances under which you surrendered or rehomed a pet
What type of personality are you looking for in a dog
What type of training have you done with previous dogs and with what school or trainer?
Do you intend to take your new dog to obedience classes? YesNo
What type of activity level do you feel would best suit your home and lifestyle?Couch PotatoModerately ActiveAverageHighly ActiveOther
Please provide us with your current Veterinarian information;
Name:
Address: Phone:
Would you be willing to allow us access to vet information?
Please list 3 references not related to you
Do you have a gender preference: Age preference?
Do you understand that often times the complete history of a rescue pug may not be known and you may encounter some initial adjustment problems? Yes No
Will you be willing to work with us on solving those problems if they occurred? yes no, I would need to return the dog
If 'yes' please describe a reasonable timeframe within which you feel the dog should have acclimated:
Is there a dog on our web page that you are especially interested in?
If you were referred by anyone, please tell us so we may thank them:
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