Pickwick Pugs Puppy Placement Application

Thank you for your interest in a Pickwick pug. This application is the next step in our placement process and allows us to learn more about your home, lifestyle, and goals for a future puppy.
Completing this form does not guarantee placement, but helps us thoughtfully determine whether a future match may be a good fit.

SECTION 1 — About YouFull Name
Email Address
(Short answer)
Phone Number
(Short answer)

City & State
(Short answer)
Preferred method of contact

• Phone
  
• Text
  
• Email
  

Best time to reach you
(Short answer)


SECTION 2 — Your Home & HouseholdWho lives in your household? (adults, children, ages)
(Paragraph)
Do you own or rent your home?

• Own
  
• Rent
  

If renting, do you have landlord approval for a dog?

• Yes
  
• No
  
• Not applicable
  

What type of home do you live in?

• House
  
• Townhome
  
• Apartment
  
• Condo
  
• Other
  

Do you have a fenced yard?

• Yes
  
• No
  
• Partial
  

Where will the puppy spend most of its time?
(Paragraph)

SECTION 3 — Lifestyle & ScheduleBriefly describe a typical weekday in your household
(Paragraph)
Approximately how many hours would the puppy be alone on a typical day?

• Rarely alone
  
• 1–3 hours
  
• 3–5 hours
  
• 5–7 hours
  
• 7+ hours
  

Who will be the puppy’s primary caregiver?
(Short answer)
What are your plans for the puppy when you travel or go on vacation?
(Paragraph)
👉 (this quietly screens your past issue—very intentional)

SECTION 4 — Experience with DogsHave you owned dogs before?

• Yes
  
• No
  

If yes, what breeds have you owned?
(Short answer)
Do you currently have other pets?

• Yes
  
• No
  

If yes, please describe them (breed, age, temperament)
(Paragraph)
What happened to your previous pets?
(Paragraph)

SECTION 5 — Training & CareWhat are your plans for training your puppy?
(Paragraph)
Are you open to guidance regarding training, feeding, and general care?

• Yes
  
• Mostly
  
• Not really
  

What does responsible dog ownership mean to you?
(Paragraph)

SECTION 6 — Health & NutritionDo you have a veterinarian, or one in mind?
(Short answer)
Are you prepared for routine and unexpected veterinary expenses?

• Yes
  
• No
  

What are your general thoughts on canine nutrition?
(Paragraph)
Are you open to following breeder guidance regarding feeding and supplements?

• Yes
  
• Mostly
  
• Not really
  

SECTION 7 — What You’re Hoping ForWhat are you hoping for in a pug? (personality, temperament, energy level, etc.)
(Paragraph)
Are you open to breeder guidance in selecting the best puppy for your home?

• Yes
  
• No
  

Why do you feel a pug is the right fit for your home at this time?
(Paragraph)

SECTION 8 — Placement UnderstandingPickwick puppies are placed as companions unless otherwise agreed in writing. Do you understand and agree?

• Yes
  
• No
  

Are you willing to follow breeder guidance regarding appropriate timing of spay/neuter?

• Yes
  
• No
  

☐ I understand that completing this application does not guarantee placement and that Pickwick Pugs carefully selects homes for each puppy.

SECTION 9 — Final ThoughtsIs there anything else you would like us to know?
(Paragraph)

🔘 SUBMIT BUTTON TEXT👉 Submit Application

💎 OPTIONAL (VERY YOU — add this at bottom)At Pickwick Pugs, each placement is intentional. We take great care in matching each puppy with the right home and appreciate your time in completing this application.