Ohio Pug Rescue, Inc.

Online Adoption Application

Please consider your application carefully and complete only if you are serious about adopting a Pug and have read the introduction page on this site.
Please read our FAQ's page for additional information.
Please read about Rescuing an Old Pug here.
Please read about Rescuing an Old Pug Vs A Puppy here.
Please read about our Special Needs Pugs here.
Incomplete applications will not be considered.
All rescue Pugs are neutered or spayed.
Click here for the MS Word documents.
We receive hundreds of applications. Therefore, please be patient for our response. We apologize for any inconvenience.
OPR does not adopt outside of the state of Ohio, no exceptions. If you live outside of Ohio and wish to adopt a Pug then please refer to your local Pug rescue.

Contact Information:

*First Name
*Last Name
*Address 1

*City
* State:
*Zip Code:
* Home Phone:
*E-Mail:
*What is the best time/way to contact you?
*Required Field

*What is your occupation?
*Name of your employer:
* Employer Phone Number:
*How often do you travel for business?
*How often do you travel for pleasure?
*Where would your Pug stay when you go on vacation or out of town?
*Required Field

* Which of the following best describes your current residence?
How long have you been at your current address?
Does your lease or homeowner's association have any covenants or restrictions on pets? (A copy of your lease or letter from your landlord is required before an adoption can be finalized.)
Name of Landlord/Lease Company:
Landlord/Lease Company Phone/Address:
*Do you have a pool?
If yes, is the pool fenced/enclosed?
*Required Field

*Is your yard or a portion of your yard enclosed by a fence?
Type of fence: (click here to read fence type descriptions) (Select all that apply)
*Is there any way a Pug could get out of your yard?
*Is there a secure lock on the gate?
*Are you willing to make modifications (i.e. add a lock, mend holes, gaps or openings) to ensure a Pug's safety, in order to adopt a Pug?
Height of fence:
*If you do not have a fenced yard, how will your Pug be exercised and allowed to exercise and eliminate?
*Required Field

How many adults are in your home?
How many children are in your home?
If yes, what are their ages?
*Is everyone in your household willing to care for a Pug?
*Has your family discussed the time, energy, and finances necessary to care for a Pug?
* Who will be primarily responsible for the care of your Pug? (Select all that apply)
*Does anyone in your household have any known allergies to animals?
* Approximately how many hours a day will your Pug be alone?
* Where will your Pug spend most of the day?
*Required Field

What kind of pets do you currently own?
Pet #1 Type:
Pet #1 Breed:
Pet #1 Age:
Pet #1 Spayed/ Neutered

Pet #2 Type:
Pet #2 Breed:
Pet #2 Age:
Pet #2 Spayed/ Neutered

Pet #3 Type:
Pet #3 Breed:
Pet #3 Age:
Pet #3 Spayed/ Neutered

*Have you ever surrendered a pet to a shelter or rescue? (i.e. OPR)
If yes, what were the circumstances:
*Required Field

*Please list 2 references: (If you currently own a pet, one reference must be a veterinarian)
Name:
Phone:
Address:

Vet?

Name:
Phone:
Address:

Vet?
*Required Field

Type of Pug you wish to adopt:
*Gender
*Color
*Age
*Sometimes, a pair of Pugs comes to rescue that have never been separated. Would you consider adopting more than one Pug at a time?
*Would you consider adopting a 'special needs' Pug? (one that needs eye drops or medication) (Click here for some examples)
*Would you consider adopting a Pug mix (aka Pugblood)?
*Required Field

*How did you hear about the Ohio Pug Rescue?
Use the following space to tell us anything else you would like us to take into consideration:
*Can you afford a dog?
*Required Field

*Have you had prior experiences with Pugs?
If yes, please explain...
What do you know/like about the Pug as a breed?
*Why do you want a Pug?
*Please describe what you feel are the characteristics of the ideal dog for your family:
*Required Field