Application Form

Please complete all fields:

Name *

First

Last

Email *

1) Please provide the names of all others living at your residence. Please also provide their age if under 19 years: *

2) Are you specifically looking for a Pug? If so, why? *

3) Do you currently have pets? If so, what kind and how many? *

4) Have you ever owned a dog before? If so, what breed? *

5) Do you have any experience with Pugs? If so, please explain: *

6) Have you ever surrendered a dog to a shelter or pound? If so, please explain: *

7) Do you have a preference for a male or female? *

8) Do you have a preference for a black or fawn? *

9) Will someone be home with the puppy during the day? If not, please explain were the puppy will be kept and how many hours a day the puppy will be kept and how many hours per day the puppy will be left alone: *

10) Who will be the primary caregiver? *

11) Pugs shed a LOT, will this be an issue for you? *

Please provide two personal references: *

Please provide the contact information for your veterinarian, if you have one:

Email

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