Celebrating Pugs

Adoption Application

All of our rescues are in private foster homes. If you are interested in adopting from Celebrating Pugs you must first fill out an application. We cannot schedule a time for you to have a meet n’ greet until you have an approved application.

Please copy/paste this application and email back to: contact@celebratingpugs.com

Applicant Name:

Street Address:

City:

State:

Zip Code: County:

Email Address:

Telephone Number:

Applicant Occupation:

Applicant Age:

Spouse/Co-Applicant Occupation:

Spouse/Co-Applicant Age:

Please list the names and ages of others who live in your home, whether full time or part time:

What is your living arrangement? _____ Own ___ Rent ____ Live with family or friends

What type of home do you live in? __yes__ Single family home _____Apartment/Townhouse/Condo _____ Mobile Home

______ Duplex/Multiple family home/Duplex

What kind of yard do you have? ____ Securely fenced _____ Underground or electric fence

___Partially or not securely fenced ______ I do not have a fence _____ I do not have a yard

If you did not answer “securely fenced” above, please tell us your plan for providing safe exercise and potty breaks for your pug.

How many hours per day will your pug be left alone?

Where will your pug stay while you are away from home: _____ In a crate _____ Free roam of the house _______ In a restricted, gated area ______ In a dog house or other outside area

Where will your pug sleep? _____ In my bed _____ In a pet bed (inside) _____ In a restricted, gated area _____ In a dog house or other outside area

What is your pet ownership experience? _____I currently have pets dogs or cats _____I currently have other types of pets (birds, fish, reptiles, etc)
_____I do not currently have pets, but have had pets in the past five years
_____I have had pets, but not in the past five years
_____I have never had pets

Please tell us about your current pets:

Current Pet 1 – Name and Age:

Pet 1 is: ___ Dog ____ Cat ______ Other
Pet 1 is: ____ Male _____ Female
Pet 1 is spayed or neutered? __ Yes _____ No
How long have you had Pet 1?
Is this an indoor or outdoor pet? _____ Indoor ______ Outdoor ______ Indoor/Outdoor

Current Pet 1 – Name and Age:

Pet 1 is: _____ Dog _____ Cat ______ Other
Pet 1 is: _____ Male _____ Female
Pet 1 is spayed or neutered? _____ Yes _____ No
How long have you had Pet 1?
Is this an indoor or outdoor pet? ______ Indoor ______ Outdoor ______ Indoor/Outdoor

Current Pet 2 – Name and Age:

Pet 2 is: _____ Dog _____ Cat ______ Other
Pet 2 is: _____ Male _____ Female
Pet 2 is spayed or neutered? _____ Yes _____ No
How long have you had Pet 2?
Is this an indoor or outdoor pet? ______ Indoor ______ Outdoor ______Indoor/Outdoor

Current Pet 3 – Name and Age:

Pet 3 is: _____ Dog _____ Cat ______ Other
Pet 3 is: _____ Male _____ Female
Pet 3 is spayed or neutered? _____ Yes _____ No
How long have you had Pet 3?
Is this an indoor or outdoor pet? ______ Indoor ______ Outdoor ______ Indoor/Outdoor

If you currently have more than 3 pets, please provide their names, ages, breeds, length of time owned, whether spayed/neutered and whether they are indoors or outdoors in the space below:

If any of your dogs or cats are not spayed or neutered, please explain why in the space below.

Check all that apply:

_____ Had a pet euthanized (“put to sleep”)
____ Lost a pet to an accident
_____ Had a pet that ran away or was lost or stolen
____ Given a pet away
_____ Taken a pet to shelter or surrendered to a rescue
_____ None of the above

For all the pets that you have owned in the past seven years which you no longer own, list the pet type (dog/cat), breed, age & detailed explanation of why you no longer own this pet.

What age pug will you consider?

_____ Puppy (0-2 years old)
_____ Young Adult (3-4 years old)
____ Adult (5-6 years old)
_____ Young Senior (7-9 years old)
_____ Senior (10 years and up)

What activity level best fits your home?

_____ Energizer Bunny
_____ Active
_____ Calm, but sometimes playful
_____ Couch potato

Are you able/willing to adopt a pug who is/has:

_____ Unhousebroken
_____ Partially Housebroken
_____ Separation Anxiety
_____ Fear/aggression toward strangers
_____ Dominance issues
_____ Food or toy aggression
_____ Vocal

Are you able and willing to adopt a special needs pug?

_____ No, I can’t adopt a special needs pug.
_____ I can adopt a pug with minor special needs (daily medication)
_____ I can adopt a pug with moderate special needs (blindness, deafness, diabetes)
_____ I can adopt a pug with major special needs (paralysis, future surgical requirements)

Do you have a preference as to the sex of the pug you adopt?

_____ I prefer a female
_____ I prefer a male
_____ It doesn’t matter

Are you willing to adopt a mix? _____ Yes _____ No

Are you willing to adopt a pair of pugs? __Yes ___ No

Are there any pugs you have seen on our website that you may be interested in? Please be aware that consideration for your choices is given when possible, but we cannot guarantee you will be considered for the pug of your choice.

What steps will you take if your new pug has trouble getting along with current pets or family members?

What will you do with your pug if your life situation changes? (i.e., a new baby, move to a new home, change in work schedule, etc) Please be specific.

How do you plan to train and discipline your pug?

When introducing a new pet into your home, there is almost always an adjustment period. How do you plan to introduce and acclimate your new pug into your home?

Does anyone in your home have allergies to pet dander that cannot be controlled by medication?

_____ Yes ______ No

Pugs are prone to various health issues, which can cause substantial veterinary costs. Are you financially able and willing to provide all necessary routine and emergency veterinary care for your pug?

_____ No, I cannot afford expensive vet bills
_____ I can handle the bills (shots, heartworm preventative, etc), but I cannot afford emergency or critical care
_____ Yes, I am able to provide routine and emergency or critical vet care for my pet.

It can take anywhere from a few weeks to a year or more to find the right match. Are you willing to wait for the right match?

___ Up to one month _____ Up to three months _____ Up to six months
_____Up to one year _____I can wait as long as it takes

In this section, please provide us with the name and contact information for your veterinarian and two personal references. Personal references cannot be related to you or live in your home. If you have not used a vet in the past seven years, we do require an additional personal reference in place of a vet reference

Please provide the name of your current (or most recent) vet used (or additional personal reference if you have not used a vet in the past 7 years): _____________________________________________________________________________

Vet’s Phone Number: ____________________________________________________________________________

How long have you used this vet? __________________________________________________________________

Name of Personal Reference #1:________________________________________________________

Phone Number for Personal Reference #1: _______________________________________________

How do you know this person?

_____________________________________________________________

Name of Personal Reference #2: ___________________________________

Phone Number of Personal Reference

#2:_____________________________________________________

How do you know this person? _________________________________________________________________

How did you hear about Celebrating Pugs?

Please tell us anything else you would like us to know in considering your application:

By signing this application, you certify that the information you provided is true, complete, and accurate to the best of your knowledge.

___________________________________________________ _______

Signature of Applicant Date

______________________________________

Printed Name of Applicant

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