Adoption Application

Due to the extremely low number of pugs in our rescue and the high number of applications we have been receiving from within the state, we are only considering in-state applications at this time. Hopefully, this low number of pugs being relinquished is a good sign for pugs in general. Utah residents can try Pugpals.org in Boise, Idaho. In Wyoming, check with Wyoming Pug Rescue.

NOTE: You will initially receive an email from our adoption coordinator. Later, when we have a dog that is a good match for you, you might receive an email from the dog's foster home. These emails come from the volunteers' personal email addresses. If you have a strong spam filter, the messages might never reach you.

Please Read and Acknowledge*

I understand Colorado Pug Rescue receives approximately 500 adoption applications per year for only about 100 dogs and therefor, not every applicant is matched with a dog.
I understand Colorado Pug Rescue might not immediately have an available dog of the specific age, gender, and/or color I am requesting.
I understand that Colorado Pug Rescue will require payment of the adoption fee at the time of adoption. The adoption fees are as follows: Puppies up to one year of age - $500; Dogs one to three years of age - $450; Dogs four to eight years of age - $400; Dogs nine years of age and older - $200.

We will keep your application on file for six months as we continue to watch for a match for you. If six months have passed and you still wish to adopt from us, you are welcome to submit a new application.

Date*

Name*

First Last

Name of Spouse/Partner

First Last

Address*

Street Address City State ZIP Code

Email*

Primary Phone*

Work Phone

Alternate Phone

I am interested in the following pugs (leave blank if no preference):

Preferred Age (check all that apply):*

Less than one year (we rarely have these)
One to three years
Four to eight years
Nine years or older
No preference

Type of Pug desired:*

Purebred
Pug Mix
Either

Sex:*

Male
Female
Either

I would consider adopting a bonded pair.*

Yes
No

Color:*

Fawn
Black
Either

I would consider adopting a Pug with the following special needs:*

Daily injections
Daily eye drops
Daily prescription medication
Special prescription diet
I would prefer a pug that does not have special needs

I would consider adopting a Pug with the following physical disabilities or behavioral issues:*

Blind
Deaf
Mobility Problem
Separation anxiety
Housetraining/marking
I would prefer a pug that does not have physical disabilities or behavioral issues

Which of the following best describes your reasons for wanting a pug? (Check all that apply)*

Companion
Guard Dog
Hunting
Breeding
Obedience Training
Search & Rescue
Agility
Jogging/Walking Buddy
Couch Warmer

Type of home you live in:*

Home Ownership*

Own
Rent

How long have you been in this house?*

Landlord's Name:

Landlord's Phone:

Are you aware of any restrictions about pets at your residence?*

How many adults live in your home?*

Children?*

Ages of children under 18?*

Does anyone inyour household have allergies?*

Yes
No
Unknown

Do you have a fenced yard?*

Yes
No

Do you have other pets?*

Yes
No

If so, what kind?

Are their vaccinations current?

Yes
No

If required, are they currently licensed?

Yes
No

Please provide the name of your veterinary clinic:*

Primary veterinarian's name if applicable:

Clinic phone:*

Current Pets

1) Species:

Breed:

Age:

Sex?

Male
Female

Spayed/Neutered?

Yes
No

2) Species:

Breed:

Age:

Sex?

Male
Female

Spayed/Neutered?

Yes
No

3) Species:

Breed:

Age:

Sex?

Male
Female

Spayed/Neutered?

Yes
No

4) Species:

Breed:

Age:

Sex?

Male
Female

Spayed/Neutered?

Yes
No

Previous Pets

Have there been other pets in your home in the past 5 years?*

Yes
No

1) Species:

Breed:

Sex?

Male
Female

How long did you own this pet?

Why is this pet no longer living with you?

2) Species:

Breed:

Sex?

Male
Female

How long did you own this pet?

Why is this pet no longer living with you?

3) Species:

Breed:

Sex?

Male
Female

How long did you own this pet?

Why is this pet no longer living with you?

4) Species:

Breed:

Sex?

Male
Female

How long did you own this pet?

Why is this pet no longer living with you?

Who is primarily responsible for the care of this dog?*

Is this dog a gift?*

Yes
No

If yes, for whom?

Where will pug spend its day?*

Outdoor kennel
Fenced yard
Crate indoors
Basement
Garage
Tied up outside
Loose indoors
Indoors with access to a dog door

Where will pug spend its night?*

Outdoor kennel
Fenced yard
Crate indoors
Basement
Garage
Tied up outside
Loose indoors
Indoors with access to a dog door

Where will pug be when no one is home?*

Outdoor kennel
Fenced yard
Crate indoors
Basement
Garage
Tied up outside
Loose indoors
Indoors with access to a dog door

Someone in my home is nervous or unsure of dogs...*

Very (e.g. bitten as a child)
Moderately
Some (no experience with dogs)
N/A

The noise/activity level in my home is usually:*

High
Medium
Low

I would enjoy brushing or grooming my dog:*

I would prefer a dog that:*

Would enjoy walking with me on a leash
Requires only enough exercise to do his/her business
Will exercise him/herself in our yard
Would enjoy going to the dog park
Would run, jog, or hike with me

How many hours can your ideal dog tolerate being alone?*

Please enter a number from 0 to 24.

My ideal dog would be:*

High energy
A lap dog
Mellow/quiet
Affectionate
A guard dog
Good with children
Good with dogs
Good with cats

What else describes your ideal dog?

Bad dog habits that I just can't tolerate are:*

What are your favorite things about the pug breed?*

Pugs, like many pure breed dogs are predisposed to certain medical ailments. Which of those would be most concerning to you?*

Additional Comments

Please add anything else you wish to tell us.

By entering my name in the box below, I certify that the above information is true and correct to the best of my knowledge.

Name

Colorado Pug Rescue

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Previous Pets

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