| Why do you want to foster a pug? 001 |
|
| As the main person filling out this application, are you the primary care person? 002 |
| YesNo |
| Are you physically able to take care of the pug? 003 |
| YesNo |
| Are you able to lift a 20 pound animal? 004 |
| YesNo |
| Are you a United States Citizen? 005 |
| YesNo |
| Are you a year round CA resident? 006 |
| YesNo |
| Does anyone in the home smoke? 007 |
| YesNo |
| Do you have changing roommates? 008 |
| YesNo |
| Do you want a pug to give as a gift? 009 |
| YesNo |
| Is anyone in the home terminally ill? 010 |
| YesNo |
| Do you rent or own? 011 |
| RentOwn |
| What type of residence do you live in (ie. house, condo, apartment, mobile home, etc.)? 012 |
|
| Do you live on/near open water? 013 |
| YesNo |
| Is anyone in home (over 18) not able to take care of the pug? 014 |
| YesNo |
| Have any of the applicants ever been cited or fined for animal related situations? 015 |
| YesNo |
| Have you been denied adoption from another rescue group or shelter? 016 |
| YesNo |
| Is anyone in your household allergic to dogs? 017 |
| YesNo |
| Does anyone in the home not want the pug? 018 |
| YesNo |
| If Yes, explain. |
|
| Do you travel on business? 019 |
| YesNo |
| If Yes, how often? |
|
| Do you travel for pleasure? 020 |
| YesNo |
| If Yes, how often? |
|
| Do your animals travel with you? 021 |
| YesNo |
| If Yes, how often? |
|
| Does anyone in your family work from home? 022 |
| YesNo |
| Is anyone in the home subject to transfer? 023 |
| YesNo |
| If Yes, how often? |
|
| Will you have any major lifestyle changes in the near future? (ie. expecting child, moving, etc.) 024 |
| YesNo |
| If Yes, explain. |
|
| Have you ever owned a pug before? 025 |
| YesNo |
| Have you ever lived with a pug before? 026 |
| YesNo |
| Have you ever lived with a dog before? 027 |
| YesNo |
| Do you currently own a dog? 028 |
| YesNo |
| If Yes, how many? |
|
| Describe each. |
|
|
| Do any of your dogs have any physical problems? |
|
| Do any of your dogs have dominance problems? |
|
| Do any of your dogs not get along with other dogs? |
|
| Have you ever had an animal euthanized? 029 |
| YesNo |
| If Yes, explain. |
|
| Do you have a cat or cats? 030 |
| YesNo |
| If Yes, how many? |
|
| Are they dog friendly? |
| YesNoN/A |
| Have you ever lost an animal? 031 |
| YesNo |
| If Yes, was the animal found? |
| YesNoNever lost |
| Have you ever taken an animal to a shelter or released an animal to another party? 032 |
| YesNo |
| If Yes, explain. |
|
| Have you ever bred animals for pleasure or profit? 033 |
| YesNo |
| Are you familiar with the animal control regulations in your area? 034 |
| YesNo |
| Are all of your current household animals spayed or neutered? 035 |
| YesNo |
| Are all of your household animals current on vaccinations? 036 |
| YesNo |
| What type of pug do you prefer? Check all that apply. 037 |
|
FawnBlackBrindleNo Color PreferenceMaleFemaleNo Gender Preference1-4 yr5-8 yr9+ yrNo Age PreferenceSpecial Needs
|
| Would you foster a special needs pug? 038 |
| YesNo |
| If open to special needs, please check which special need(s) you would accept. Check all that apply. |
|
BlindDeafDiabeticEpilepticArthritisAllergiesDaily MedicationsIncontinentCan't climb stairsBack Problems
|
| Are you open to fostering a pug mix? 039 |
| YesNo |
| Is there anything else specific you are looking for in a pug? 040 |
|
| Are you able to take the pug to the vet? 041 |
| YesNo |
| Are you willing to meet with prospective adopters? 042 |
| YesNo |
| Can you deal with a pug that snores? 043 |
| YesNo |
| Can you deal with a pug that scratches to communicate? 044 |
| YesNo |
| Can you deal with a pug that may bark? 045 |
| YesNo |
| Can you deal with a pug that has accidents or may become incontinent? 046 |
| YesNo |
| Can you deal with a pug that licks? 047 |
| YesNo |
| Can you deal with a pug that sheds a lot? 048 |
| YesNo |
| Are you willing to house train a new pug? 049 |
| YesNo |
| Are you willing to trim the nails or have the pugs nails trimmed on a regular basis? 050 |
| YesNo |
| Are you willing to administer daily eye drops or medicine to the pug if needed? 051 |
| YesNo |
| Are you willing to have the pugs anal gland expressed periodically if needed? 052 |
| YesNo |
| Have you ever housebroken a dog before? 053 |
| YesNo |
| Did you use a crate? 054 |
| YesNo |
| Will the pug be restricted from/to certain room(s)? 055 |
| YesNo |
| If Yes, explain. |
|
| Will the pug be restricted from the furniture? 056 |
| YesNo |
| Where will the pug sleep at night? 057 |
|
| Where do other animals sleep? 058 |
|
| How many hours a day, on average, will your pug be alone? 059 |
|
| Where will you keep your pug when you are away from home during the day? 060 |
|
| While you are out, will the pug have access to a doggy door and the outdoors? 061 |
| YesNo |
| Where will your pug stay when you are out of town? 062 |
|
| If the pug has an accident in the house, explain what you would do? 063 |
|
| Do you agree to keep a current ID tag on your pug at all times? 064 |
| YesNo |
| Do you agree to keep your pug current on all shots and on heartworm preventative? 065 |
| YesNo |
| Can you commit to care for the pug for its whole life, even if special needs arise? 066 |
| YesNo |
| What would you do if your pug became a special needs pug? 067 |
|
| Do you have and use air conditioning? 068 |
| YesNo |
| Do you have a pool or spa? 069 |
| YesNo |
| If Yes, is the pool covered or fenced? |
| YesNoN/A |
| Do you have a backyard? 070 |
| YesNo |
| If Yes, is it fenced? |
| YesNoN/A |
| Do you have a fenced front yard? 071 |
| YesNo |
| Do you have a fenced patio? 072 |
| YesNo |
| How tall are your fences in front yard &/or backyard? 073 |
|
| Do you have a gate to the backyard? 074 |
| YesNoN/A |
| If utility meters are located in backyard area, will meter readers be entering this area? 075 |
| YesNoN/A |
| Will gardeners or pool maintenance people be entering the back area? 076 |
| YesNo |
| Are you willing to put a padlock on the back area gate? 077 |
| YesNo |
| Do you have a balcony or deck? 078 |
| YesNo |
| If Yes, what is the space between rails (inches)? |
|
| Do you have stairs? 079 |
| YesNo |
| If Yes, do you have stairs inside, outside or both? |
| InsideOutsideBoth Inside and OutsideN/A |
| If you have stairs, are any stairs open backed? |
| YesNoN/A |
| Will you reinforce or enclose areas if we request? 080 |
| YesNo |
| Are all windows screened? 081 |
| YesNo |
| Do you have a doggy door? 082 |
| YesNo |
| If No, are you planning to get a doggy door? |
| YesNoI already have a doggy door. |
| Pesticides, slug/snail pellets and other chemicals such as antifreeze are toxic. Do you agree not to use any of these in areas your pug will have access to? 083 |
| YesNo |
| Does your homeowners association, apartment, or mobil home, condominium, etc. allow pets? 084 |
| YesNoN/A |
| If Yes, explain restrictions. |
|
| If you rent, do you have permission to own a dog? 085 |
| YesNoN/A |
| Your Landlord's Information: |
Name:
Phone: |
| If your pug had an emergency or serious illness, how much would you be willing to spend on vet bills? 086 |
| $100$250$500$1000Whatever it takes |
| Under what circumstances would you justify getting rid of a pug? 087 |
|
| Are you willing to help PRNC at their functions? 088 |
| YesNo |
| Would you object to a representative of PRNC calling to check on how you & pug are doing? 089 |
| YesNo |
| Would you object to a home visit by a representative of PRNC? 090 |
| YesNo |
| If Yes, why? |
|
| Are you willing to return the pug to PRNC should unforeseen circumstances arise? 091 |
| YesNo |
| Do you authorize your veterinarian to give PRNC a reference? 092 |
| YesNo |
| If Yes. |
Current Vet:
Phone: |
| How did you find out about PRNC? 093 |
|
| Is there anything else you think we should know about you, your pets or your family? 094 |
|
Terms of Agreement
Thank you for taking the time and care to complete this application. Please try to answer each question as completely as possible. Incomplete applications may not be considered. By clicking “SUBMIT THE APPLICATION” button below, you are attesting to the truthfulness of your answers.
PUG RESCUE OF NORTHERN CALIFORNIA RESERVES THE RIGHT TO REFUSE ANY APPLICATION.
Furthermore, by submitting this application you are attesting to have read and are able and willing to follow our Foster Guidelines as listed below:
1. Foster parents agree to give loving care to the rescued pug(s) and provide a safe, indoor environment. Pugs shall be kept in the house at all times with the exception of being taken outside to go to the bathroom. At no time shall the dog(s) be tied to any object outside, nor shall they be kept in any outdoor kennel.
2 Foster parents agree to only take foster pugs to authorized veterinarians, except in cases of extreme emergency. Pug Rescue of Northern California will pay for all medical care by such veterinarians.
3 The foster parent understands that it may be necessary to drive the dog to the veterinarian, to meet with prospective adoptive families and other places, and is willing to do so.
4 Foster parent agrees to feed the pug(s) premium dog food, and agrees to feed, water and exercise the dog appropriately. This includes no unsupervised, off-lead time.
5 Foster parent understands that often a pug comes into rescue needing medication. Pug Rescue of Northern California will pay for all medications necessary for the dog(s). The foster parent agrees to administer the medication(s) to the dog in accordance with the veterinarian instructions.
6 A rescue pug often comes in on short notice with no indication of health or temperament. Foster homes have to be willing to help assess this and be willing to update the Pug Rescue of Northern California Coordinator on a weekly basis. Pug Rescue of Northern California cannot guarantee foster pugs will be potty trained on arrival.
FOSTER APPLICATION
