Inquiry Form

Thanks for submitting the inquiry form. Please forgive any possible slow responses but we will get back with you as soon as we are able!

Puppy Application

Help us get to know you so we can help find the perfect match!

What are your expectations for your pug? Check all that apply. *

If you are not planning on showing or breeding, would you be willing to have your pug spayed or neutered? (If no, please note this is required for companion Pickwick puppies). *

Yes No

History with pets:

Have you owned dogs (or other types of animals) in the past, or within the past 5 years? *

Yes No

Please describe the pet you have owned in the past or within the past 5 years. What is its species? Breed? Sex (male/female)? *

If applicable, please describe 2nd pet you have owned in the past or within the past 5 years. What is its species? Breed? Sex (male/female)? *

If applicable, please describe 3rd pet you have owned in the past or within the past 5 years. What is its species? Breed? Sex (male/female)? *

If applicable, please describe 4th pet you have owned in the past or within the past 5 years. What is its species? Breed? Sex (male/female)? *

Do you have additional pets now or in the past 5 years? Please list species, breed, sex (male/female), if spayed/neutered, if they live/lived indoors or outdoors, if they still live with you and, if not, please explain. *

Have you ever brought one of your dogs to a pound, shelter, or rescue group. Or had the dog re-homed? *

Yes No

If you rent, please list your landlord's name and phone number. Written permission from landlord is required. *

How much do you anticipate spending yearly to feed, vaccinate, provide medical care for your pet? *

Will you be "crate training" for potty training and transporting your pug? If not, please explain your preferred method of house-training. *

Would you be willing to enroll your pug in training classes or puppy kindergarten with a positive reinforcement trainer? *

Yes No Not sure NA - I train myself

Please list your regular veterinarian (name and phone number). (Type "NA" if you do not have a vet yet.) *

Please list 2 personal references. (Name, address, phone number, and email of each.) *

Applicant's employer: Name, address, and phone number. How long have you worked for them? *

Dog Clubs: Do you belong or have you ever belonged to any canine/dog clubs or organizations? *

Yes No

Your Family

Which member of your household will be primarily responsible for feeding, training and general care? *

Does any member of your household have a known allergy to animals? *

Yes No

Your pug's lifestyle:

If yes, do you have a fence or a way to prevent pug from drowning? *

Yes No

Pugs/dogs are frequently stolen right out of people's yards. How will you ensure that this will not happen? *

Will you be taking your Pug on regular walks or to the park for exercise? *

Yes No

Are you willing to take responsibility for this Pug for the rest of its life? *

Yes No

If unable to keep the Pug for any reason, are you willing to return it to us? *

How will you introduce your Pug to the other members of your household to ease the adjustment? *

Are you willing to contact us if you have questions about the Pug’s behavior, or health concerns *

Yes No

Please list any additional information you feel we should know about you. *

Would you be willing to continue our interview through emai, phone, Skype video calls, and a possible in-home visit? *

Yes No

Thank you so much for completing this application. We want to find the perfect match for each puppy and that requires getting to know prospective owners through a completed application, conversations via email and phone, possible skype interviews or live in-home visits. We look forward to getting to know you even better and are so happy to meet a fellow pug lover!