Relinquishment & Surrendering

Surrender Information Form

If you need to surrender a Pug, you must complete this form. You will be contacted by a volunteer within 48 hours of submitting this form. Please understand that we will not refuse assistance to any needy Pug, but it is essential that you provide complete, detailed and accurate information so that we can match the Pug with the most appropriate foster home.

If you have found a lost/stray Pug:

Please contact your local animal shelters and veterinarians offices prior to contacting Ohio Pug Rescue. Quite often, owners of lost pets have contacted these agencies looking for their pets. Additionally, shelters and veterinarians can scan the pet to see if it is microchipped and reunite it with its owner. We will happily accept found Pugs once preliminary efforts to find the owner have failed.

Have you made the final decision to surrender the Pug?	Yes, I have made the final decision to surrender the dog. No, I have not made the final decision to surrender the dog. I would like a volunteer to contact me to discuss my situation and explore options that might allow me to keep the dog.
Are you the legal owner of this Pug?	Yes No
If you are not the Legal Owner, please explain.
Pug's Name
Pug's Color	Fawn Black Other
Pug's Sex	Male Female
Pug's Age (yrs)	01234567891011121314151617181920
Spayed or Neutered?	Yes No Unsure
Is your Pug a pure breed?	Yes No Unsure
If your Pug is a mix, what is it mixed with (please guess if unsure)?
Reason for Surrendering (check all that apply):	New Baby Allergies Not Home Enough/Not Enough Time Moving and Cannot Take the Dog Found as Stray Behavior Issues Health Issues - Owner Health Issues - Dog Cannot Afford Care New Home Other
If your answer above was Behavior Issues or Other, please describe.
Please select any health problems. (We do not turn away Pugs due to health problems.)	Eye Problems Ear Problems Breathing Problems Heartworm Positive Lyme Positive Diabetic Liver Shunt Heart Problems Pancreatitis Seizures/Epilepsy Arthritis/Joint Problems Paralyzed Mange Pug Encephalitis Cancer Blind Deaf Other
If you answered Cancer or Other, please give some additional information.
Please select any behavior problems. (We do not turn away Pugs due to behavior problems.)	Aggressive Towards Other Dogs Aggressive Towards Cats/Other Small Animals Aggressive Towards Children Aggressive Towards Adults Barks Excessively Destructive Escapes from Fence Guards Food Guards Toys/Other Possessions Guards People Hyperactive Other
Please describe behavior problems.
Is your Pug housebroken?	Yes No Partially Unsure
If you answered Partially, please explain.
Is your Pug crate trained? Where does your Pug stay when you are not at home?
Date of last shots:	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 12345678910111213141516171819202122232425262728293031 / 201020092008200720062005200420032002200120001999199819971996199519941993199219911990
Is your Pug an OPR return?	Yes No
Current Vet Name
Current Vet Phone	-  -
Current Medications
How did you learn about the Ohio Pug Rescue?	Internet Search Friend Referral Vet Referral Event Other
Your Name	First: Last:
Your Phone	Day: -  -  Evening: -  -
Your Email
Your City, State	, AlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutDistrict fo ColumbiaDelawareFloridaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyoming
We can take the dog into rescue much more quickly if you are able to provide some transportation assistance. Are you able and willing to help by meeting our volunteer part of the way between your home and the volunteer's home?	Yes No
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.	Emergency 1-2 Weeks 2-3 Weeks 3-4 Weeks 4+ Weeks
Additional Comments
Security Code: (Case Sensitive - Please Double Check this Field)
By selecting Agree below, you signify that you understand the following: It may take up to 48 hours for a volunteer to contact you. Ohio Pug Rescue is staffed exclusively by volunteers, most of whom have other full time jobs. Every effort is made 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 make arrangements to obtain a copy of these records from your vet and give them to the OPR volunteer when he/she comes to pick up the dog. 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 I Agree I Do Not Agree

OPR does not adopt outside of the state of Ohio, no exceptions. If you live outside Ohio and wish to adopt a Pug, please refer to your local Pug rescue.