Name:
 

 

 

Address:
 

 

 

Home Phone Number:
 

 

 

Cell/Work Phone Number:
 

 

 

Email Address:
 

 

 

Occupation:

 
How did you hear about us?

 
Does everyone in your family want a Pug?


 What made you decide to adopt a Pug?


What are your current living conditions ( House, Condo etc...)? 


Do you rent or own? 

If renting, are pets permitted? We require as part of the application process to contact your landlord. Do you agree to this?

•  

  Landlords Name:  

•  

  Landlords Phone Number: 

 

 
How long have you lived at the current address?

Do you have a fenced yard?If so How tall? What kind?

 

Are you planning to move in the next year?

Do you have any young children in the household? If yes, please provide
ages.


Do you have any other dogs or pets in your household? If yes, please explain


Does anyone in your family suffer from dog allergies? If yes, please explain.


Does anyone in the household smoke? If yes, do they smoke indoors?


How many hours during the day will your puppy be left alone?

When are you looking to add a puppy to your family?


Will this be your first puppy/pug?


Are you planning on crate training your puppy? If no, where do you plan for the puppy to be during the day when unattended?


Are you looking for a Pet or Show pug?

•  

   If looking for a show prospect are you willing to co-own till all titles are earned?

 
Are you looking for a Puppy or Adult?

 

Do you have a preference in gender?

 

Do you have a preference in color?


Do you agree to our rehoming policy? If for any reason, at any time you are unable to keep your dog, we require you to contact us immediately. We will either ask you to return the dog to us, or will assist in rehoming him/her for you.


Are you aware of the time and energy needed to care for a young puppy, and are you willing and able to accept that responsibility?


Will the cost of caring for a young puppy fit comfortably into your budget? (ie. Annual vaccinations,  monthly flea products, training expenses, quality food expenses, toys, crates, bedding, etc...)


Do you have a veterinarian picked out?
 

•  

   Veterinarian Name 

•  

   Veterinarian Telephone Number

 
Are you and your family committed to caring for this dog for his/her entire lifetime?


Please provide us with 2 personal references (not related)

Please tell us about yourself and your life style?