Compassionate Pug Rescue

Adoption Application

All of our pugs are wonderful, special little creatures who deserve a home, regardless of age or special needs. Even though we cannot guarantee the future health of our pugs, we can guarantee the loyal unconditional love and companionship they will bring into their new homes. Please, if you have room in your heart to offer an orphan pug a forever home, fill out an application. If you are not 100% committed, or if you are looking for an inexpensive, healthy young pug, you need NOT apply to our rescue. We care deeply about each of our pugs. We will only place them in homes that promise to provide unconditional love forever.

Instructions: Please fill out all information applicable in as much detail as possible. Use TAB or your curser to move from field to field. We will keep your application on file for one year. Please be patient. It is sometimes impossible to reply to every applications as they come in.

CPR reserves the right to refuse any adoption.

Personal Information:











own     rent


Yes   No   N/A





Yes   No






Rescue Prefences:




Yes   No






Pet History:

List All Pets You currently Own:

Dogs

      
      
      

Cats

      
      
      



References:

List 3 references that can attest to your suitability and responsibility as a pet owner. If you own any pets now, please include your veterinarian as a reference.

***NOTE: 3 References Are REQUIRED***

Vet Reference (First if applicable)




























Thank you for your interest. This questionnaire helps us in placing the right dog with the right family. Improper placement can end tragically, most often for the dog.

Thank You!