MidSouth Pug Rescue Foster Application
First Name
Last Name
Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Please Select
Afghanistan
Albania
Algeria
American Samoa
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Chile
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Congo, Republic of the
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Dominican Republic
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Mali
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Mexico
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Myanmar
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Netherlands
New Zealand
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Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
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Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
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Samoa
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Seychelles
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Sint Maarten
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Slovenia
Solomon Islands
Somalia
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Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
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Tonga
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Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Email
Best Phone
Other Phone
Number of adults living in the household
Number of children living in the household
Names and Ages of Adults Living In Home
Names and Ages of Children Living In Home
Current Pets
How Many Pets Do You Currently Own?
How many are pugs?
Living Arrangements
What Type of Dwelling Do You Live In?
If you rent, do you have permission from your landlord to have a pet?
Yes
No
Do you have an escape-proof fenced in yard?
Yes
No
If "Yes", What Type Of Fence Is It?
How Many Gates?
Do you own a pool?
Yes
No
Is it fenced or screened separately from the yard?
Yes
No
How Do You Plan To Insure Your Pet's Safety While It Is Outdoors?
Do you allow your pets on the furniture?
Yes
No
Will you allow a rescue pug on the furniture?
Yes
No
How Many Hours A Day Are You Gone From Your Home?
How Many Hours A Day Would Your Rescue Be In A Crate If You Choose To Use One?
What Will You Do With Your Pug If No One Is At Home During The Day?
Name Of Regular Vet You Will Use
Address of Regular Vet You Will Use
street address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Submit
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