Adoption Application

Shelnic's Pugs

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Adoption Application

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Occupation *

When were you looking to add a pug to your family? *

Are you looking for a Puppy or Adult? *

Puppy Young Adult Older Adult No Preference

Do you have a preference in gender? *

Male Female No preference

Do you have a preference in color? *

Fawn Black No preference

Does everyone in your family want a pug *

Yes No

Are you looking for a Pet or Show pug? *

Pet Show

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

Yes No

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

How long have you lived at your current address? *

Do you Own or Rent? *

Own Rent

If you Rent please provide you Landlords Name and Phone Number *

Are you planning on moving in the next year *

Yes No

Do you have a fenced yard? *

Yes No N/A

Does anyone in your household smoke? *

Yes No

If so do they smoke indoors? *

Yes No N/A

Do you have any children in your household? *

Yes No

If yes, Ages of children *

What made you decide to adopt a Pug? *

How did you hear about us? *

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

Will this be your first puppy/pug? *

Yes No

Do you have other pets in the home,and if so how many,what breed and are they spayed/neutered? *

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

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 *

Yes No

Please tell us about your lifestyle, and how a pug will fit into it? *

Please provide us with 2 personal references *

Please provide us with your regular Veterinarian (Clinic, Doctor and Phone Number) *