RESCUE

Yankee Pug Dog Club Rescue Application

Date: ___________________________

Your Name:

 First _____________________ Last ____________________________ 

Spouse/Partner  

Name: First ________________Last______________________

Address: Number/Street ______________________________________________

City/State: ______________________ Zip: _________________ 

Phone: (       ) _________ - ________

E-mail address: ________________________________________________________ 

Pug Preference: Age _____ male____  female____  fawn____  black____

Information - Please check the ones that apply: 

1. Do you live in a ___house ___condo ____apartment? 

2. Do you have a fenced in yard? yes___ no___ / If yes, is it ___full _____partial? 

3. Is your street ____busy ____quiet? 

4. Owned dogs before? ____yes  ____no 

5. Children in household ? ____yes  ____no age(s) _______ 

6. Other Pets? ____yes ____no  Type/age ________________

If cats, are they de-clawed? ____yes ____no 

7. Is your veterinarian familiar with flat faced breeds? ____yes ____no 

8. Are you interested in receiving  YPDC newsletter? ____yes ____no

9. Are you interested in becoming a YPDC Member? ____yes ____no

Personal References (please supply two): 

1. Name/Address/Phone ___________________________________________________________________________

2. Name/Address/Phone ___________________________________________________________________________

Yankee Pug Dog Club Policy There is a non-refundable adoption fee of $225.00 per Pug adopted to help defray veterinary costs, payable upon receipt of the Pug. Prior to placement, all Pugs are completely Vet checked, made up to date on all shots and spayed or neutered. The YPDC maintains a file of applicants. As rescue Pugs become available, they are matched to a suitable person or family. This is not done on a first-come first-served basis. YPDC does follow up on placements to assure a successful transition. YPDC retains first right of refusal if placement does not work out. The Pug must be returned to YPDC for further placement. YPDC places approximately six Pugs per year.

How did you hear of Yankee Pug Dog Club? ________________________________________________________________________________

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Please notify YPDC if you have adopted a Pug or another breed elsewhere, or wish to be removed from our waiting list.