A Pug Rescue

Surrender Form Information

Incomplete applications or errors will not be processed

PRONC’s surrender process begins with filling out this form. Once that is done, we review these forms and get the proper representative in touch with you to arrange a pick up.

We want to be sure that we place the right Pug with the right Forever Home!. So the more we know about your pug the better we can place it in a forever home. The more we know about your pug, the easier it will be for us to find it the prefect adoptive family for him. Tell us about your pug (s) health problems, personal habits, or special needs that we and the new owner should be aware of.

*****Please remember this "BEFORE" you place your pug into any Rescue System*****

Prior to surrendering your pug, check references on the organization as well as the rescue representative.

Email us for more information: admin@pugrescuenc.org You may contact the Central Carolina Pug Dog Club, Inc, Pug Dog Club of America, Inc., and the Internal Revenue Service for references on our organization.

Be very careful whom you release your pug to. There are many people out there only wanting to get your pug to sell it for money, dog fighting, puppy mill breeding style or even use it for animal testing! Don't be fooled by a scam.

Do the best thing for the Pug; get them to a safe place where it will be loved and cared for by professionals of a legitimate organization!

"ALL" members of Pug Rescue of North Carolina, Inc. will wear proper and positive ID at all times when meeting with you!

If you have any questions please contact: admin@pugrescuenc.org

Please keep answers short and to the point, too many words in a box will cause this form to "NOT" submit.

When you have completed this application, click "Submit", you will see a confirmation page to show your application has been sent. If you do not see the confirmation page,

please resubmit your application.

First Name:
Last Name:
Address
City, State, Zip:
Phone
E-Mail Address:

1. Pugs - Name, Color and Sex?

2. Pug's - Age, and Date of Birth

3. Date of last Vaccines, and what type of vaccines.

IMPORTANT NOTE: All owner surrender pugs must be current of their Rabies vaccination.

Due to the high threat of Rabies in our area this must be done to protect our representatives as

well as our own pets, as this pug will be fostered inside our homes, with our families. Other vaccines are not mandatory but appreciated.

4. Veterinary Hospital's Name and phone number including (area code) you used

5. Is this pug house train?

6. Is this pug good with children?

7. Is this pug good with other pets? Does he/she gets along well with cats?

8. Tell us about the behavior habits of this pug.

Is he/she Create Trained, Leash Trained, a Digger, Barker, Obedience Trained, Chewer, Sleeps on furniture,

does he/she know any tricks? Does he/she ride in a car well, anything else you can think of that will help us place this pug in a forever home?

9. What is the reason this pug is being given up?

10. How long have you owned this pug

11. Last date Heartworm pill was given?

12. Is this animal micro-chipped? If so please tell us the chip number and MFG Brand -

AVID * HOME AGAIN * 24 PetWatch.

Also will you have the ownership transfer paperwork signed to give to your rescue representative?

13. Where was this animal housed inside or outside, is he or she crate trained?

14. Please tell us about any medical issues we need to address immediately your pug is

currently experiencing.

15. Is this pug Spayed or Neutered?

Please enter any other information or comments here that will help us know this pug better

Please keep answers short and to the point, too many words in a box with cause this form to NOT submit.

By signing below I certify I am the legal owner of this animal. I understand after I surrender this animal

I am surrendering all legal rights to this pug over to the Pug Rescue of North Carolina, Inc.

Applicant (s) Signature, and Date

PLEASE REVIEW YOUR ANSWERS CAREFULLY BEFORE PRESSING THE "SUBMIT BUTTON"

Please press the "SUBMIT" button only once.

WE RESERVE THE RIGHT TO REFUSE ANY APPLICANT

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