| Adoption Application |
| Fields marked by * are required. |
| 1. |
Your Name: *
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| 2. |
Address: Street *
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| 3. |
City, State Zip *
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| 4. |
Drivers license and state issued *
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| 5. |
Home Phone, Work and Cell phone and best time to reach you *
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| 6. |
Email *
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| 7. |
Number of dogs you own, breed, male/female, ages - are they spayed/neutered? If No, why?
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| 8. |
Name, Address, Phone number of your veterinarian
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| 9. |
Would you be interested in a pug mix?
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| 10. |
Could you give a older pug (over age 6) a home?
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| 11. |
DFWPRC does NOT ship pugs. Are you willing to travel to the Dallas/Fort Worth area to pick up your pug?
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| 12. |
It has been our experience that whether a pug has been owner-surrendered or rescued from a shelter, they are often in need of extended medical attention, or they are so old that they are in need of a place to just rest and be loved. Can you adopt a pug that is either very old (10+) or in need of special (or on-going) medical care?
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| 13. |
Have you adopted a pug from DFW Pug Rescue in the past? If yes, do you still own this dog?
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| 14. |
Have you applied with any other rescue organizations? If yes, who?
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| 15. |
Please list 2 personal references not living at the same residence. Name, Address, Phone number.
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| 16. |
By Submitting this Adoption Application I affirm that all informaiton is true and correct.
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| 17. |
Do you live in a house, apartment or other? Does it have a fenced yard?
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| 18. |
Have you ever turned in an animal to a shelter? If yes, what were the circumstances?
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| 19. |
What arrangements will you make for your pug(s) if you must travel?
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| 20. |
Will you keep your pug on heartworm preventative? Yes/No
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| 21. |
Why do you want to adopt a pug? What do you know about pugs?
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| 22. |
Do all family members favor a pug coming into the household? If there are children in your family, what are their ages?
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| 23. |
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?
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| 24. |
Are you aware that pugs shed a lot? And snore?
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| 25. |
How many hours will your pug be left alone during the day?
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| 26. |
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?
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| 27. |
Are you interested in? Male, Female or Either
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| 28. |
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.)
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| 29. |
To help DFWPRC make everyone aware of our organization, would you tell us how you head about us?
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