Pug Rescue San Diego County Adoption Application Please enable JavaScript in your browser to complete this form.Pug's NameFirstLastYour NameFirstLastSpouse/Partner/RoommateNameAddressStreet addressAddress Line 2State/Province/RegionCityPostal/Zip CodeCountryUnited StateCanadaMexicoOtherHome Phone###-###-####Work Phone###-###-####Cell Phone###-###-####EmailBest time to callWhich NumberHomeWorkCellDate to callMM/DD/YYYYHousehold Age GroupsSelect Age Group20-3031-4041-5051-5556-6061-6566-7071-7576+Your Age GroupHousehold Age GroupsSelect Age Group20-3031-4041-5051-5556-6061-6566-7071-7576+Spouse/Partner Age GroupOther adult(s) living at homeFirstLastChild(ren) living at homeFirstLastDoes anyone in your house smoke indoors?YesNoHow does your Spouse/Partner feel about dogs?Type of Work You doFirstLastSpouse/Partner's WorkFirstLastDoes either of your work require travel?YesNoIf Yes, Frequency and Duration of TripsWhere would the Pug stay when you go out of town?FriendRelativeHouse-sitterVetKennelOtherDescribeIs someone home during the day?YesNoWhere will the Pug stay during the day?How many hours a day will the pug be left alone?Length of time at This addressAre you moving within a year?YesNoDo you rent or own your home?YesNoIf renting, you MUST provide a statement from landlord stating his/her name & phone number, and any pet restrictions.Where do you live?HouseCondoTownhouseApartmentMobile HomeRV ParkDo you have a Homeowner's Association?YesNoIf yes, you MUST provide CCRs with HOA name, phone number, & pet restrictions for the complex.Do you have an enclosedFront YardBack YardDescribe your yardDo you have an enclosedPoolSpaPugs can't swim, Describe:Are you will to reinforce enclosures if we deem it necessary to protect the Pug?YesNoWill you stop using toxins (pesticides, snail bait, Weed & Feed, antifreeze) in areas the Pug can get to?YesNoDo you have a Gardener?YesNoWhat type of Pug do you wish to adopt? Be specific, so we can best match you to your Pug.(All PRSDC Pugs are neutered or spayed.)ActiveMellowYoungAdultSeniorMaleFemalteSpecial NeedsBlackFawnAnyExplainWhat other pets do you have now?(include all species) *FirstMiddleLast antifreeze) the OF -FirstMiddleLastPet 2FirstMiddleLast-FirstMiddleLastPet 3FirstMiddleLast-FirstMiddleLastPet 4FirstMiddleLast-FirstMiddleLastAre you allergic to any animals?YesNoIf Yes, ExplainWhere, specifically, will the Pug sleep?HouseGarageOutsideLaundry RoomAdopter's bedChild's bedExplainCan you deal with a snoring pug?YesNoWill the Pug be allowed on the furniture?YesNoWill you deal with housebreaking?YesNoWill you accept a special needs Pug?YesNoWould you ever leave your Pug in a car?YesNoHave you ever relinquished a pet?YesNoHave you lost a pet within the last 5 years to:AccidentIllnessMovedLostStolenEuthanasiaExplainIf your pug has a housebreaking accident, you should:Hit the dog and say, "NO!"Put the dog's nose in it and say "Bad dog!"Lightly spank the dog and put it outsideOtherExplainDo you agree to keep your Pug current on all shots?YesNoWill you keep a current ID tag on your Pug at all times?YesNoDo you intend to get your Pug micro-chipped?YesNoPugs, like any other pet, require a top quality diet and routine veterinary checkups as well as regular dental care. In addition to their annual shots and other routine exams, there is always the possibility of illness or emergency care and its accompanying expenses. Will you commit to this financial responsibility? To adopt a Pug from Pug Rescue of San Diego County (PRSDC), adopters must have an extremely high level of commitment to their dog. It is a responsibility for the life of the dog, whether sick or well, young or elderly. The average life span of a Pug may be 12-15 years. Pugs are to be treated as family members throughout their lives. A volunteer from PRSDC may check back with you once or twice after the adoption. Should conditions ever be substantially different than the Adopter has represented, PRSDC reserves the right to reclaim the Pug if they feel it is in the Pug's best interest. Should an Adopter ever have to give up a Pug, unless prior arrangements have been made with PRSDC, ownership will automatically revert to, and the Pug must be returned to, PRSDC. ADOPTION FEES USUALLY RANGE FROM $100 - $800, DEPENDING ON AGE, HEALTH AND PERSONALITY OF THE PUG.Initial to confirm your understanding and agreementPersonal ReferenceName-Address-PhoneYour VeterinarianName- AddressNameFirstLast- (copy)PhoneI have read and agree to the terms above:FirstLastApply
