Manitoba Pug Rescue
How many children are living at home?
Names and ages of all children included above
Is anyone is your home allergic to animals?
Does anyone in your home have asthma?
Do you rent or own your home?
If renting, Landlords Name
Landlords Phone Number
If you have rented there for less than two years please provide previous address.
Do you have Air Conditioning?
Does fencing completely enclose the yard for your dog?
If the yard is not fenced, please explain where and how you will allow the dog to exercise and relieve itself?
Can strangers gain access to your yard from the street?
Do you have a pool?
Is the pool area completely enclosed or fenced?
Do you have any other pets at this time?
If yes, are they spayed or neutered?
Do they live indoors or outdoors?
Please describe your pets in detail:
What pet food are you feeding your pets?
Have you ever owned a pug before?
Have you ever owned other dogs in your adult life?
If you have owned other dogs, please provide details:
Why do you want to adopt a pug?
Where will the dog stay when you are at home?
Where will the dog stay when you are at work?
Where will the dog sleep at night?
How many hours a day will the dog be alone?
Do you plan to use a crate (kennel)?
Why or why not?
What kind of solutions would you be willing to try if housebreaking accidents occur?
Have you ever given up an animal to a shelter or found a new home for an animal in your care?
If yes, please explain the circumstances under which you surrendered or re-homed your pet.
Please provide us with your current Veterinarian information:
Would you allow us access to vet information?
Please provide the name's and phone number's 3 references not related to you:
Do you have a gender or age preference for your dog?
Do you understand that often times the complete history of a rescue pug may not be known and you may encounter some initial adjustment problems?
If “yes”, please describe a reasonable time frame within which you feel the dog should be acclimated:
Is there a dog on our website that you especially interested in?
If you were referred by anyone, please tell us so we may thank them:
Are you prepared to adopt this dog immediately?
If no, please explain why.
Please give us any other information that may help us make the best match between you and your new pug:
Additional comments or questions?
Thank you for contacting us. We will get back to you as soon as possible.
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