Your First Name:
Your Last Name:
Address:
City, State, Zip:
Phone:
Alt Phone:
Email:
Occupation:
Preference? Male Female
Color? Fawn Black
Age? 8 weeks - 6 months 6 months - 1 year Age does not matter
Where do you live? Single Family Home Townhouse Mobile Home Apartment
Do you rent your home? Yes No
Renters must provide landlord contact info:
How long have you lived at your current address?
Do you have any plans to move within the next year? If so what will happen to your pug?
How much do you anticipate spending yearly to feed, vaccinate and provide medical care for your pug?
Do you plan to use a crate when transporting your Pug? If not, what will you use to restrain him/her?
What types of supplies do you have or plan to get for your Pug?
What type of animals do you currently have, and what others have you had in the past 5 years?
Pet #1 Species:
Type/Breed:
Age:
Sex:
Altered?
Lived Indoors/Outdoors?
Do you still live with this pet?
If no, what happened to the pet?
Pet #2 Species:
Type/Breed: Age:
Pet #3 Species:
Pet #4 Species:
Phone #:
B) Previous Veterinarians you have used in the last 5 years. Name:
Phone #
C) 2 Personal References Name:
Name:
D) Applicant's Employer
How long have you worked for this employer?
Previous Employer, If less than 1 year with current employer please also list your previous employer and time there.
Dog Clubs Do you currently belong or have you ever belonged to any canine/animal clubs or organizations? If so, please list, and state any offices held:
# of children:
Ages of children:
Do all family members favor getting a Pug? If no, what is the situation?
Which member of your household will be primarily responsible for feeding, training and general care of your Pug?
Does any member of your household have a known allergy to animals? If so, how will you deal with it?
Where will your pet be kept while it is alone?
Where will your Pug sleep at night?
How will the pet be cared for during vacations?
Do you have air conditioning?
Does your vehicle have air conditioning?
Do you have a pool or hot tub?
Is it fenced and/or secure from a curious Pug?
Do you have a fenced-in yard?
Is it in the front or back?
What type of fence? How high?
In public view? Secure?
Pugs/dogs are frequently stolen right out of people's yards. How will you ensure that this will not happen?
Will you be taking your Pug on regular walks or to the park for exercise?
Will you use a leash to walk your Pug?
Will you place identification on your Pug?
Are you willing to take responsibility for this Pug for the rest of its life?
If unable to keep the Pug for any reason, are you willing to return it to us (breeder)?
What type of behavior do you expect from your Pug?
What is your housebreaking technique?
How will you introduce your Pug to the other members of your household to ease the adjustment?
What expectations do you have for your Pug?
Please answer below (Y/N) -Companionship? Yes No
-Show? Yes No
-Performance events? Yes No
-Outside pet/watchdog? Yes No
-Company for other pet? Yes No
-Other? (explain):
What types of canine books/training techniques are you familiar with already?
Are you willing to send me copies of your Vet reports whenever you take your Pug to the Vet?
Are you willing to contact me if you have questions about the Pug’s behavior, or health concerns?
In your own words, why do you want to own a Pug?
How did you find us? .... We like to thank those who send us referrals .... Please add any additional comments here.
Thank you for taking the time to complete this application. We will let you know we received your application, and we will save it until we have an appropriate Pug for your situation. All applications are filled in the order that we receive them. We reserve the right to sell, or not, to anyone applying for a Pug from us. **NOTICE** If you do not complete the application fully with your name, address, phone, and email information then please don't expect us to contact you. If we don't have the info then we really have no way to call or email you :-) Thank you for your interest in our pugs. Bren (Brendy Pugs)