| Adoption Application |
| Fields marked by * are required. |
| 1. |
Your Name: *
|
| 2. |
Address: Street *
|
| 3. |
City, State Zip *
|
| 4. |
Home Phone, Work and Cell phone and best time to reach you *
|
| 5. |
Email *
|
| 6. |
Number of pets you own, breed, male/female, ages - are they spayed/neutered? If No, why?
|
| 7. |
Name, Address, Phone number of your veterinarian
|
| 8. |
Would you be interested in a pug mix?
|
| 9. |
Would you be interested in adopting a senior pug (age 8 and over) or a special needs pug? The adoption fee is reduced and is based on the age of the pug and/or the medical needs of the pug
|
| 10. |
Have you applied with any other rescue organizations? If yes, who?
|
| 11. |
Do you live in a house, apartment or other? Does it have a fenced yard?
|
| 12. |
Have you ever turned in an animal to a shelter? If yes, what were the circumstances?
|
| 13. |
DFW Pug Rescue does not "ship" pugs. Are you willing to travel to the DFW area to pick up your pug?
|
| 14. |
What arrangements will you make for your pug(s) if you must travel?
|
| 15. |
Will you keep your pug on heartworm preventative? Yes/No
|
| 16. |
Why do you want to adopt a pug? What do you know about pugs?
|
| 17. |
Do all family members favor a pug coming into the household? If there are children in your family, what are their ages?
|
| 18. |
Are you aware that pugs are FULL-TIME INDOOR DOGS and will you be able to accommodate your pug in this manner? Where will your pug spend most of its day?
|
| 19. |
Please list 2 personal references not living at the same residence. Name, Address, Phone number.
|
| 20. |
Are you aware that pugs shed a lot? And snore?
|
| 21. |
How many hours will your pug be left alone during the day?
|
| 22. |
Some pugs have special medical needs (i.e., eye problems, skin allergies). Are you financially able to provide any needed medical care for your pug?
|
| 23. |
Are you interested in? Male, Female or Either
|
| 24. |
Desired Age Range: (If you desire a very young pug (under 1 year of age), please note that we seldom rescue puppies, and the wait could be long.)
|
| 25. |
To help DFWPRC make everyone aware of our organization, would you tell us how you heard about us?
|
| 26. |
By Submitting this Adoption Application, I affirm that all information is true and correct.
|
| |