Pug Rescue and New
Service's
Here's a donation form you can fill out and print for our Pugs and their owners Pug Rescue and Pug Research. Application
Name _______________________________________
Phone (day) _____________________
Address ____________________________________
Phone (eve) _____________________
City __________________________ State ______ Zip _________________
Amount: Please inclose check to Cover Cost $ _100.00_ Check #__________
( X
) Rescue PUGS
Please check box: ( ) Senior Citizens ( ) Homeless ( ) Aids ( ) Reasearch Amount $ _________ Check #__________ (Tax deductible)
NOTE: Pug Rescue would you be willing to reimburse us for spay/neuter
expenses, rabies vaccine and DHL shots incurred by Pug Dog Club of Greater
New York, Inc.
Yes _____ No _____
Type of Pug: Dog or female (color Fawn ( ) Black ( ) please check.
1. Why do you want a Pug ?_________________________________________________
____________________________________________________________________
Other requirements:_____________________________________________________
____________________________________________________________________
Planning for your Pug
1. Do you Know A Pug MUST live Indoors in your home? Yes ( ) or No (
) please check
2. Where will your Pug sleep? Summer____________ Winter ____________ or your bed.
3 .. Are you willing to housetrain? Yes _____ No _____
4. Do all members of your household want a Pug? Yes _____ No _____
5. Who will be primarily responsible for the Pugs care? ____________________
6.. How many hours each day, on average, would
your Pug dog be without human
companionship? _________
7. Do you know that Pugs do not need yearly vaccinations ? Yes _____ No _____
8.. Do you have a secure fenced-in yard? Yes _____ No _____
9. Will you chain your Pug in the yard or house? Yes
_____ No _____
If yes, why_______________________
10. Do you have a swimming pool/hot tub? Yes
_____ No _____
Do you know Pugs love water and you will have
to be careful around the pool.
11; Do you know Pugs must be kept in air conditioning in the hot and Humid weather
12. Do you know Pugs must always be walked on lead.
Family Information
1. How many adults____ children____ (ages)______________
in household?
2. Do you have children visiting?____ How often?___________
Ages ______
Pugs love children and Senior
Citizens
3.. Do any family members have allergies to dogs?
Yes _____ No _____
4.. If you have pets currently, please list them below:
Type of animal Age
Sex Spayed/Neutered? Indoor Outdoor
______________ ____
____ Yes / No
______ _______
______________ ____
____ Yes / No
______ _______
5. Do you live in a house____ apartment____ duplex_____
condo____
townhouse____
mobile home____ military housing____
Do you own ____ rent ____
6. If you must give up your Pug, what would you do?
______________________________
_________________________________________________________________
7. To Rescue a Pug is a great responsibility. You
will be sharing your life with a Pug who is totally dependent upon
you for food, shelter, grooming, walks and veterinary care. This involves
a financial commitment. Are you able to make this life-long commitment
to a Pug ?__________
8.. Please read and sign the following: I certify
that all information given in this application is true. I agree
that upon rescuing a Pug from the Pug Dog Club of Greater New York, Inc.
I will have the Pug neutered or spayed.
Signed: ________________________ Date: _____________
Mail or E-Mail to: Pug Rescue and Service Chairman:
Shirley Thomas, 151-22 21st Ave, Whitestone, New York 11357
*
E- Mail: shirrayne@worldnet.att.nt
Services:
All Pug owners are welcome to attend the Pug Dog Club
of Greater New York, Inc. scheduled symposiums,
Research on Liver Shunt, Hemi Vertebra, Pug Dog Encephalitis,
PRA, Thyroid Problems
Please request additional information or complete form Below and return to the Pug Club:
Name: _________________________________________ Today'sDate:______________
Address: _______________________________________ Date of Birth:______________
City/State:______________________ Zip; _________
Home phone: (____)_____________________(FAX):______________________
Work phone:(____)_____________________(E-mail):_____________________
Name:___________________ Phone:_________________ Relation:
Please check:s Pugs. ( ) Research ( ) Rescue )
Planned Giving
We need your regular and sustained support to continue
to help the Pugs.
We are the first Pug Dog Club in the country to undertake this new unique combination of services to help people who own Pugs. The Pug Dog Club of Greater New York, Inc. is there to protect and carry on the development of the Pug Breed. Also, we maintain the quality of the Pug's breed type and are watchdogs of the breed standard. We are there to help the individual pet owners, breeders and exhibitors. One of our functions is to hold Dog Shows under the rules of the American Kennel Club so that the fanciers can exhibit and show off their breeding stock in a sportsmanlike manner. We are there to educate the pet owners and their Pugs to be responsible citizens in their community and to teach children what good sportsmanship is all about and how to treat and care for the Pug. These are big responsibilities for our Pug Club and we can not function properly without everyone's support.
So please give as much as you can to our services; however, we do need your support to make this program work for our Pug Rescue.
Research on Liver Shunt and Hemi Vertebra, Pug Dog Encephalitis, PRA and Thyroid Problems in Pugs need your help. Remember PUGS in Your Will. Your Research donations will be sent to Dr. De Lahunter at Cornell.
The Pug Dog Club of Greater New York, Inc. is leading the way to find the source and put a stop these problems before they are in all of our PUGS.
If you know of someone in the New York area that needs our help please notify the Pug Dog Club of Greater New York, Inc.
_ShirleyThomas,President