Mid Atlantic Pug Rescue 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 Mid Atlantic 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 possibly reunite it with its owner. We will happily accept found pugs once preliminary efforts to find the owner have failed.

Please describe the pug you wish to surrender

* Have you made the final decision to surrender the dog?

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 (Please explain)

* Dog's name (if unknown, indicate "NA"):

* Sex

Male

Female

* Age:

* Spayed or Neutered?

Yes

No

Not Sure

* Is this a pure bred pug or a mix?

All pug

Mix

Not sure

If this is a mix, what is it mixed with? (Please guess if you're unsure)

If you are surrendering a PUG MIX, please upload a photo of the dog. Failure to include a photo of the PUG MIX being surrendered could cause a delay in the processing of your request.

* Reason for surrendering

Please describe any health problems
(We do not turn away pugs due to health problems.)

Please describe any behavior problems
(We do not turn away pugs due to behavior problems.)

* Is the pug housebroken?

Yes

No

Partially

Don't know

* Up to date on shots?

No

Yes

Not Sure

* Is pug up-to-date on any of the following (check all that apply):

Heartworm Preventative

Flea Preventative

Neither

We may need access to the pug's medical records in order to treat any existing health conditions. If you are the owner of this pug, provide the name and phone number (including area code) of your veterinarian so that we may contact them if we need access to the dog's medical records.

Please list any other medications this pug is taking

* How did you learn about Mid Atlantic Pug Rescue?

* Indicates Response Required