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Applicant’s name *
Home Address *
Email Address *
Telephone Number *
Do you have a secure garden? * Yes No
If not secure, where will the dog be exercised?
Property Type * House Flat Bungalow Other
If you live in a flat which floor is it on?
If yes what breed and age are your current pets?
Do you own a Pug now? * Yes No
Have you ever owned a Pug? * Yes No
If yes, what happened to your previous Pug?
Have you ever had to give up or re-home a pet? * Yes No
If yes, what happened?
Do you have a current Vet? * Yes No
Please explain your reasons for wanting to adopt/foster a Pug *
Have you ever adopted/fostered a Pug before? * Yes No
Have you ever had a home check before? * Yes No
Please tell us about your knowledge and experience of Pugs: *
In your own words please tell us why we should pick you to adopt a rescue Pug: *
Your preferred sex * Female Male Either
Your preferred age * Puppy Adult Senior Either
Your preferred colour * Fawn Black White Either
Must be good with cats? * Yes No Either
Must like other dogs? * Yes No Either
Should be comfortable around children? * Yes No Either
Must be sociable around people? * Yes No Either
Are you able to accept a dog that is not house trained or only partly trained? * Yes No
Are you able to accept a Pug with ongoing veterinary needs? * Yes No Unsure
Are you able to adopt two Pugs if it is a requirement they be re-homed together? * Yes No Unsure
