DFW Pug Rescue

Online E-mail Adoption Application Form

Please complete all fields. Incomplete applications cannot be processed.
Thanks.

* = Required
*Name: First and Last Last Name REQUIRED
*Street Address: NO P.O. Boxes
*City:
*State:
*Zip:
*Daytime Phone:
Evening Phone:
Cell Phone:
*E-mail Address:
*Confirm E-mail Address:


Do you live in a? Explain

Does your residence have a fenced yard?

Children in household? If yes, ages?

Have you ever owned a pug?

How many other dogs/pugs do you own?
Breed?
Male or Female?

Are your other pets spayed/neutered?
If Not, Why?

What arrangements will you make for your pug(s) if you must travel?

Have you ever turned in an animal to a shelter?
If Yes Explain?

Will you keep your pug on heartworm preventiative?

Do you have a regular veterinarian?
If Yes, Name, Address, Phone number of your veterinarian?

If No, WHY?


Why do you want to adopt a pug?


What do you know about pugs?


Do all family members favor a pug coming into the household?

Where will your pug spend most of it's day?


Are you aware that pugs are FULL-TIME INDOOR DOGS and will you be able to accommodate your pug in this manner?

Are you aware pugs shed A LOT! ?

Are you aware pugs snore?

How many hours will your pug be left alone durning the day?

Some pugs have special medical needs (i.e., eye problems, skin allregies). Are you financially able to provide any needed medical care of your pug?



Adoption Fee:$200.00 for mature pugs
and $300.00 for puppies.


Adoption Fee collected when you pick up your pug.


Note:Adoption fee pays for veterinary care for your pug. This includes examination, vaccinations, blood test to check for heartworm, rabies vaccinations, sterilization (spaying / neutering), and treatment for any life threatening issues. If the pug is heartworm positive, it will be treated at our expense. Be aware that the adoption fee does not cover cosmetic, dental care, claw removal, grooming, boarding, or any type of advanced skin or eye treatment.

DFW Pug Rescue Club, Inc., rescues all pugs in the Dallas/Ft. Worth area regardless of age or physical condition and many come to us in need of costly medical care. When making a donation, you are supporting DFW Pug Rescue Club, Inc. in its mission of making sure every pug has medical treatment and obtains a loving home. If you are concerned solely with donation cost, going through a rescue group may not be the right choice for you.



Are you interested in?

What color pug are you interested in?

Desired age range?
( If you desire a very young pug, under 1 year of age), please note that we seldon rescue puppies, and the wait could be long.)

Would you be interested in a pug mix?

Could you give a older pug (over age 6) a home?

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?

DFWPRC does NOT ship pugs. Are you willing to travel to the Dallas/Ft. Worth area to pick up your pug?



Have you adopted a pug from DFW Pug Rescue in the past?
If Yes, do you still own the pug?
If you have adopted from DFW Pug Rescue in the past, please give date of adoption and name of pug at time of adoption.


Have you applied with another rescue organization?
If yes, Who?




Please list 2 personal references not living at the same residence.
Name, Complete Address and Phone Number.

Personal Reference 1


Personal Reference 2



Include any additional notes you feel may be important.







*By checking this box, you affirm that the information contained on this adoption application is true and correct!