Angelic faces and Star dispositions in heavenly OFA-tested bodies of divine distinction since 1996.

Type in your full legal name exactly as it appears on your government-issued photo identification (i.e. driver's license, passport):

Type in your spouse's/partner's name:

Type in your Address, City, State, and Zip Code:

Type in your email address:

Type in your telephone number(s):

DESCRIBE THE PEOPLE IN YOUR HOME:

1. List the names and AGES of all people residing in the household.

2. What are the occupations and employers of the individual’s in the household and the hours of work?

3. Are there likely to be any major changes in your lifestyle in the near future? (such as moving, pregnancy, care of an elderly relative etc.) If so, please describe: 

4. Is anyone in your family allergic to animals? If yes, what kind of animal? 

5.  If married, do you or your spouse have any objections to signing a written agreement in order to adopt a pug?

6. Explain why you want a pug: 

7. Please list the names, addresses, telephone numbers, and email addresses of TWO individuals whom we may contact as personal references for yourself. These two references must have known you for at least 2 years and must not reside in the same household: 

8. Where did you hear about us?

9.  When you travel, where do your pets stay?

10. Are you or your spouse terminally ill?

11. Has anyone in the household ever been arrested? If so, list the dates and describe the circumstances.

DESCRIBE THE PUG YOU WISH TO ADOPT: 

1. What color pug do you wish to adopt?

Black
Fawn
Either color

2. What sex pug do you wish to adopt?

Female only.
Male only.
Either male or female.

3. What type of pug do you wish to adopt?

Companion Pet only.
Show Prospect only.
Champion only.
Retired Champion only.
Puppy.
Adult.
Either puppy or adult.

4. Where will your pug reside in your home?

5. Who will be the primary caregiver to the Pug?

6. How long will the pug be left unattended during the day? 

7. Where will your new pug sleep (i.e., in a crate, in a bed, etc.)? 

8. Do you plan on using a crate for your Pug?

9. Are you willing to administer daily eye drops to the pug if it needs it? 

Yes.
No.

10. Are you willing to have the pug's anal glands expressed if it needs it?

Yes.
No.

11. Are you willing to have the pug's nails trimmed on a regular basis? 

Yes.
No.

12. Are you willing to accept full financial responsibility for all veterinarian care and costs for the pug once you have adopted it? 

Yes.
No.

13. Is this dog for someone else? If yes, who and why? 

14. State the dollar amount (number figures only) you expect to pay for a quality bred pug from a reputable, knowledgeable breeder.  If you do not know, make an educated guess.

DESCRIBE YOUR RESIDENCE: 

1. Is your residence:

rural
suburban
in the city

2. How long have you lived at your present address? (If less than 5 years, list prior city and state of residence.) 

3. Check all that are on your residence:

Pool.
Spa.
Other body of water.
No body of water.

4. If you have a pool, spa, or other body of water on your residence, are they fenced in? If not, are you willing to fence them in prior to adopting a pug?

5. Do you have a fenced yard? 

Yes.
No.

6. Does your home have air conditioning?

Yes.
No.
N/A because temperatures are less than 75 degrees F year round.

7. Are you renting or do you own your current residence?

Renting.
Own/Purchasing.

8. If you are currently renting your home, can you provide written proof from your landlord that you have their permission to own a pug at the residence?

9. How many people smoke in the residence?

10. Do you have a raised balcony or porch?  If so, is it fenced in?  If it's not fenced in, are you willing to fence it in?

11. Do you have a dog run or dog kennel at your residence?

DESCRIBE YOUR PETS AND YOUR EXPERIENCE WITH ANIMALS:

1. List all pets you currently own who are residing in your home:

2. Do you own a cat(s)? If so, how many?

3. List the breeds, ages, registered names and registration numbers of all dogs currently in your household: 

4. Are your dogs spayed/neutered? If not, please state reason.  If yes, are you willing to provide proof of spay/neuter?

5. List the name, address, and phone number of your current veterinarian:

6. Have you ever owned a Pug before?

7. If yes, what is the name of the person(s) you obtained it from? 

8. What happened to it? If deceased, how did it die?

9. Have you ever owned any other breeds of dog? If yes, please list breeds and state what happened to them or if deceased, how did they die? 

10. Are you willing to house train your new dog?

11. Are you interested in breeding dogs for :

Hobby
Sport
Income
N/A

12. If interested in breeding dogs, what is your goal? 

13. Please list the breeds and numbers of litters and dates they were born in the last 5 years and the kennel name(s) which you registered them under: 

14. Are you interested in having a kennel, grooming shop, or pet store either as a hobby or for income? If so, list which one: 

15. Please list the dog clubs for which you are now or have been a member along with the dates of your membership:

16. Do you plan to purchase or adopt another pug within 1 year of obtaining one from us?  If so, what is your reason for doing so?

17. Have you ever taken a dog to the pound, surrendered it to rescue, or returned it to a breeder?  If so, please elaborate:

18. Have you ever been suspended by the AKC or any dog club?  If so, give date and circumstances:

19. Are your present pets current on vaccinations?

20. Are your present dogs current on heartworm medication?

21. Which of your present dogs display aggressive tendencies towards other dogs?

22. Provide the URL for your Facebook page, and Twitter/Instagram names:

23. Have you ever lost a pet (not to death)?  If so, please explain what happened.

24. Have you ever had a pet seized by or removed from your home by law enforcement, animal control, or any other means?

25. Have you ever been accused of or charged with any abuse, neglect, abandonment, or animal cruelty, animal fighting, or any other crimes against animals?

DESCRIBE ADDITIONAL RELEVANT INFORMATION:

1. List your additional requirements:

2. Is there anything else you wish you describe about yourself, your current pets, your family, etc.?

BY CHECKING ALL BOXES BELOW AND ELECTRONICALLY SIGNING MY/OUR NAME(S), TYPING IN THE DATE, AND SUBMITTING THIS APPLICATION BELOW, I AM/WE ARE ATTESTING THAT: 

I/WE CERTIFY THAT:

I AM/WE ARE PROVIDING TRUE AND CORRECT INFORMATION TO THE BEST OF MY/OUR ABILITY.
I/WE UNDERSTAND THAT A BACKGROUND CHECK WILL BE CONDUCTED AND I/WE GRANT PERMISSION FOR YOU TO CONTACT MY/OUR REFERENCES AND REVIEW MY/OUR QUALIFICATIONS IN ORDER TO BE CONSIDERED FOR ADOPTION OF ONE OF YOUR PUGS.
I/WE UNDERSTAND THAT YOU GRANT ADOPTIONS ONLY TO PERSONS WILLING TO MAKE A LIFETIME COMMITMENT OF PROVIDING A LOVING, CARING, NURTURING HOME TO THE PUG.  WE UNDERSTAND THAT YOU HAVE THE RIGHT TO RECLAIM ANY PUG IF THE CIRCUMSTANCES WARRANT SUCH ACTION.  SHOULD I/WE EVER HAVE TO GIVE UP OR RE-HOME THE PUG FOR ANY REASON, IT WILL BE RETURNED TO YOU AT NO CHARGE TO OR FINANCIAL OBLIGATION TO YOU.
I/WE UNDERSTAND THAT ANY FALSIFICATION OR OMISSION OF INFORMATION YOU DEEM RELEVANT ON THIS APPLICATION OR SUBSEQUENT ADOPTION STEPS CONSTITUTES FRAUD AND WILL BE GROUNDS TO TERMINATE MY/OUR ABILITY OR RIGHT TO ADOPT ONE OF YOUR PUGS.
I/WE UNDERSTAND THAT YOU RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE AND THAT SUBMITTING THIS APPLICATION DOES NOT WARRANT OR GUARANTEE THAT I/WE WILL BE APPROVED TO ADOPT ONE OF YOUR PUGS.
I/WE UNDERSTAND THAT ONLY AFTER I/WE HAVE SUCCESSFULLY COMPLETED ALL ADOPTION STEPS AND HAVE RETURNED THE SIGNED, NOTARIZED, WRITTEN AGREEMENT WITH THE SERVICE FEE, WILL A PUG BE CONSIDERED RESERVED OR HELD FOR ME/US.

TYPING MY NAME BELOW SERVES AS MY ELECTRONIC SIGNATURE AS APPLICANT:

DATE SIGNED:

TYPING MY NAME BELOW SERVES AS MY ELECTRONIC SIGNATURE AS APPLICANT'S SPOUSE/PARTNER:

DATE SIGNED:

Thank you for taking the time to complete and submit this application. Your cooperation is appreciated!  Normally, you can expect to receive a response in 1-7 days. Check your SPAM filter. Please check over your answers and make sure that there are none left blank before clicking on "SUBMIT".    Incomplete applications will not be considered.   Your application will be kept on file for one year from the date we receive it.