Azalea Kennels - Puppy Application

Date

Name

Home Phone

Work Phone

Mobile Phone

Best time to call

Address

Email

Website Address

Occupation

PUG PREFERENCES

Age

Color

Do you prefer

female
male

Why?

What expectations do you have for your pug (check all that apply)

companionship/family pet
company for another pet
outside pet/watchdog
performance events
show

other expectations. Explain

If not planning on breeding or showing would you be willing to have your pug spayed or neutered?

Yes
No

In your own words, why do you want to own a pug?

YOUR PUG AND OTHER DOG EXPERIENCE

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How and when did you find out about the pug breed?

Have you ever owned a pug?

Yes
No

What made you decide to purchase a pug?

Have you ever brought one of your animals to a shelter, pound, or rescue group?

Yes
No

If yes, why?

What dogs or other type animals do you have now or have had in the past (at least 5 years)?

Pet #1

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Species

Type/Breed

Age

Sex

Altered?

Yes
No

Lived indoors/outdoors?

Yes
No

Do you still have this pet?

Yes
No

If no, what happened to the pet?

Pet #2

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Species

Type/Breed

Age

Sex

Altered?

Lived indoor/outdoors?

Do you still have this pet?

If no, what happened to the pet?

Please add any additional pets' information here

LIVING CONDITIONS

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Do you live in a

apartment
condo
house
mobile home

If you rent, your landlord's name and phone number (written permission from landlord needed)

How long have you lived at the present address?

Are you planning on moving in the next year?

Yes
No

What will happen to your pug if you move?

How much do you anticipate spending yearly to feed, vaccinate, provide medical care for your pet?

Do you plan to use a crate when transporting your pug?

Yes
No

If not, what will you use to restrain him/her?

What type of supplies do you have or plan to get for your pug?

REFERENCES

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A) Your regular veterinarian: Name and phone number

B) Two personal references: Name, address, phone number, and email of each

C) Applicants Employer: Name, address, & phone number. How long have you worked for them?

D) Dog Clubs: Do you belong or have you ever belonged to any canine/dog clubs or organizaations?

Yes
No

If yes, please list club or organization and state any offices held.

YOUR FAMILY (Please answer the following regarding your household)

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Number of Adults

Number of children and ages

Do all family members favor getting a pug?

Yes
No

If no, what is the situation?

Which member of your household will be primarily responsible for feeding, training and general care?

Does any member of your household have a known allergy to animals?

Yes
No

If yes, how will you deal with it?

HOW YOUR PUG WILL LIVE

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How many hours per 24 hour day will your pug be left alone?

Where will your pet be kept while it is alone?

Where will your pet sleep at night?

How will the pet be cared for during vactions?

Do you have air conditioning?

Yes
No

Does your vehicle have air conditioning?

Yes
No

Do you have a pool or hot tub?

Yes
No

Is it (are they) fenced and/or secure from a curious Pug?

Yes
No

Do you have a fenced-in yard?

Yes
No

Is it in the front or back? What type of fence and how high?

Is it in public veiw?

Yes
No

Pugs/dogs are frequently stolen right out of people's yards. How will you ensure that this will not

Will you be taking your Pug on regular walks or to the park for exercise?

Yes
No

Will you use a leash to walk your Pug?

Yes
No

Will you place identification on your Pug?

Yes
No

Are you willing to take responsibility for this Pug for the rest of its life?

Yes
No

If unable to keep the Pug for any reason, are you willing to return it to us?

Yes
No

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?

Are you willing to contact me if you have questions about the Pug’s behavior, or health concerns

Yes
No

Any additional information

Thank you for taking the time to complete this application.

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