Was this Pug adopted from the Ohio Pug Rescue, Inc.? If yes, Date of Adoption? (If no, leave as today's date) : January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 If yes, Pug's Rescue Name (if different than current name): Have you made the final decision to surrender the Pug? Are you the legal owner of this Pug? If you are not the Legal Owner , please explain. Pug's Name: Pug's Color: Pug's Sex: Pug's Age (yrs): 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Date of Birth (if unknown, leave as today's date) : January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 Spayed or Neutered? Is this Pug purebred? If your Pug is a mix, what is it mixed with (please guess if unsure) ? Reason for Surrendering (check all that apply) : If your answer above was Behavior Issues or Other , please describe: Please select any health problems: If you answered Cancer or Other , please give some additional information. Please select any behavior problems.: Please describe behavior problems: Is your Pug housebroken? Is your Pug crate trained? Where does your Pug stay when you are not at home? Date of last shots (if unknown, leave as today's date) : January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 Current Vet Name: Current Vet Phone: Current Medications: How did you learn about the Ohio Pug Rescue? Your Name: First: Last: Your Phone: Day: Evening: Your Email: Your City, State: AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY We may request that you provide transportation assistance to get your Pug to its foster home. Are you able and willing to assist with transporting your Pug into rescue? If you are able to help with transport, how far are you willing to travel? We will work quickly to take your Pug into foster care but your flexibility is greatly appreciated. Please indicate how urgently you need to place the dog in foster care. Your response to the item below is only a guide that will help us prioritize your needs. Please remember, we use Volunteer Foster Homes and how quickly placement into rescue is based on availability of an open Foster Home at the time of your request. Additional Comments: Security Code:(Case Sensitive - Please Double Check this Field) By selecting Agree below, you signify that you have provided true information and that you understand the following: A current photo of your Pug is required before we will proceed with your request.
Prior to accepting your Pug in rescue, you will be asked to provide vet records showing date of last vaccinations, any health issues, and proof of spay/neuter (if you have stated above that the Pug is spayed or neutered). Please obtain a copy of these records from your vet prior to arrangements being made to bring your Pug into rescue.
Ohio Pug Rescue is staffed exclusively by volunteers, most of whom have other full time jobs. Every effort is made to contact you regarding your request for surrender and to transition Pugs into foster care as quickly as possible but we ask your patience and flexibility as we work to make suitable arrangements for your Pug.
Please keep in mind that we use Volunteer Foster Homes for the pugs and how quickly placement into rescue takes place is based on availability of an open Foster Home at the time of your request.
In order to minimize the impact of the transition on the Pug, we ask you to surrender all the Pug's belongings (bedding, toys, crate, leash, food, medicines, food, etc.). Vet records are also essential in ensuring that the Pug receives proper medical care.
Please be aware that upon surrendering the Pug, you must complete and sign a surrender form granting the Ohio Pug Rescue legal ownership of the Pug. Once a Pug is surrendered to the Ohio Pug Rescue, it cannot be returned.
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