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*****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
simply wanting to get dogs for: dog fighting, puppy mill breeding style or even sell 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!
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.
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 NOTICE:
ALL: Owner Surrendered animals "must have a current Rabies vaccination up to date" before we cab take them. Have your veterinarian's office fax us a copy of the current medical record on the animal being surrender prior to surrender, or have a copy to give to our PRONC representative upon surrender.
FAX Number: (336) 643-1196
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 you "MUST" provide ownership transfer paperwork signed over and
give it to your rescue representative
upon surrendering?
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 signing all legal ownership
rights include micro-chip transfer of 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.
