Gold Country Pugs - Puppy Application

We will not just let our puppies go to just any home, please make sure to fill out the form in its entirety and be open and honest with your answers or you will be wasting your time and ours. Thank you!

Name(s)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

Please provide a reference (name, email & phone)

How many adults currently reside in your home?

How many chidren currently reside in you home?

Ages of Children? (if Applicable)

Do you currently own other pets?

Yes

No

If yes, how many?

If yes, what species?

If yes, what ages?

Are these pets spayed or neutered?

Yes

No

If no, why not?

Are these pets up to date on their vaccinations?

Yes

No

If no, why not?

Have you owned or do you currently own a dog?

Yes

No

If yes, at what age did they come to live with you?

If you have owned a dog(s) in the past but they are no longer in your care, why?

Does anybody in your household have a known allergy to dogs?

Yes

No

Does everyone in your household agree on the decision to get a new puppy?

Yes

No

Why do you think a pug is the right fit for you/your family?

What is/are your occupation(s)?

What is your annual household Gross Income?

How long have you been at your current job?

Do you plan on staying there?

Yes

No

Do you own or rent your home?

Own

Rent

What type of dwelling do you reside in?

How long have you been at your current residence?

Do you plan on moving anytime soon?

Yes

No

If so, why?

If so, where do you plan on relocating?

If so, how soon do you plan on relocating?

Do you agree to have this puppy as a mostly indoor pet?

Yes

No

Do you have a fenced yard?

Yes

No

If not, how do you plan to supervise the dog when it goes outside?

How often do you plan on leaving the puppy at home unsupervised? For how Long?

Do you have the time to give adequate love and attention to the puppy?

All of our puppies come with limited AKC registration and spay/neuter contracts. Do you agree?

Yes

No

If you do not, why?

Do you agree to provide regular healthcare by a licensed veterinarian, including but not limited to vaccines, worming, flea, tick and heartworm prevention?

Yes

No

Do you have a licensed veterinarian that you plan on taking the puppy to?

Yes

No

If so, please provide their information. (Name, address, phone, email etc.)

Do you use this veterinarian currently for other pets?

Please describe any preference in temperament, personality, sex & color you may have, and why.

Would you consider a puppy of another sex or color if your preferences are not available?

Yes

No

Our dogs are like family to us and our puppies are too. Do you agree to send regular updates of the dog you purchase from us?

Yes

No

If for any reason you are unable to care for the puppy/dog at any time, we prefer you return the puppy/dog to us. The puppy/dog will either stay with us or be rehomed to another approved Gold Country Pugs Family. Do you agree?

Yes

No

If your application is approved, in order to claim and purchase a puppy from Gold Country Pugs, a Holding Fee of $500 is required. Do you understand and agree to these terms?

Yes

No

Signature

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