Mary Pickford (2016)

We understand there are many reasons why people cannot always keep their pets and appreciate that they look to rescue for help.

Ohio Pug Rescue accepts all purebred pugs into rescue.

You will be required to complete and sign a Surrender Form, stating all known information about the pug, including medical records (if available), habits, etc. This form will also serve as your legal agreement to permanently relinquish ownership of the pug.

All pugs that come into Ohio Pug Rescue are vet checked, spayed or neutered, vaccinated, microchipped for identification, and treated for any medical conditions before the adoption process begins.

Information that can be provided at the time of surrender is extremely important in the adoption process in order to help make a good match for the pug's forever home.

Ohio Pug Rescue also takes in stray pugs and makes every attempt to find their owner. If you have found a stray pug and want to surrender it to OPR, you will be asked to complete a Surrender Form, stating details about the pug you found.

Surrendered pugs are cared for in foster care in the private homes of OPR volunteers. All pugs stay in foster care until a suitable home is found. No pug is euthanized because it does not find a home. If a pug cannot find a home for any reason, the pug will live in foster care.

Surrender Information Form

If you need to surrender a Pug, you must complete this form. You will be contacted by a volunteer as soon as possible. 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 Ohio 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 reunite it with its owner. We will happily accept found Pugs once preliminary efforts to find the owner have failed.

Was this Pug adopted from the Ohio Pug Rescue, Inc.?	Yes No
If yes, Date of Adoption? (If no, leave as today's date):	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 12345678910111213141516171819202122232425262728293031 / 2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000
If yes, Pug's Rescue Name (if different than current name):
Have you made the final decision to surrender the Pug?	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
If you are not the Legal Owner, please explain.
Pug's Name:
Pug's Color:	Fawn Black Other
Pug's Sex:	Male Female
Pug's Age (yrs):	01234567891011121314151617181920
Date of Birth (if unknown, leave as today's date):	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 12345678910111213141516171819202122232425262728293031 / 2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000
Spayed or Neutered?	Yes No Unsure
Is this Pug purebred?	Yes No Unsure
If your Pug is a mix, what is it mixed with (please guess if unsure)?
Reason for Surrendering (check all that apply):	New Baby Allergies Not Home Enough/Not Enough Time Moving and Cannot Take the Dog Found as Stray Behavior Issues Health Issues - Owner Health Issues - Dog Cannot Afford Care New Home Other
If your answer above was Behavior Issues or Other, please describe:
Please select any health problems:	Eye Problems Ear Problems Breathing Problems Heartworm Positive Lyme Positive Diabetic Liver Shunt Heart Problems Pancreatitis Seizures/Epilepsy Arthritis/Joint Problems Paralyzed Mange Pug Encephalitis Cancer Blind Deaf Other
If you answered Cancer or Other, please give some additional information.
Please select any behavior problems.:	Aggressive Towards Other Dogs Aggressive Towards Cats/Other Small Animals Aggressive Towards Children Aggressive Towards Adults Barks Excessively Destructive Escapes from Fence Guards Food Guards Toys/Other Possessions Guards People Hyperactive Other
Please describe behavior problems:
Is your Pug housebroken?	Yes No Partially Unsure
Is your Pug crate trained? Where does your Pug stay when you are not at home?
Date of last shots (if unknown, leave as today's date):	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 12345678910111213141516171819202122232425262728293031 / 2024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000
Current Vet Name:
Current Vet Phone:	-  -
Current Medications:
How did you learn about the Ohio Pug Rescue?	Internet Search Friend Referral Vet Referral Event Other
Your Name:	First: Last:
Your Phone:	Day: -  -  Evening: -  -
Your Email:
Your City, State:	, AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
We may request that you provide transportation assistance to get your Pug to its foster home. Are you able and willing to assist with transporting your Pug into rescue?	Yes No
If you are able to help with transport, how far are you willing to travel?
We will work quickly to take your Pug into foster care but your flexibility is greatly appreciated. Please indicate how urgently you need to place the dog in foster care. Your response to the item below is only a guide that will help us prioritize your needs. Please remember, we use Volunteer Foster Homes and how quickly placement into rescue is based on availability of an open Foster Home at the time of your request.	1-2 Weeks 2-3 Weeks 3-4 Weeks 4+ Weeks
Additional Comments:
By selecting Agree below, you signify that you have provided true information and that you understand the following: A current photo of your Pug is required before we will proceed with your request. Prior to accepting your Pug in rescue, you will be asked to provide vet records showing date of last vaccinations, any health issues, and proof of spay/neuter (if you have stated above that the Pug is spayed or neutered). Please obtain a copy of these records from your vet prior to arrangements being made to bring your Pug into rescue. Ohio Pug Rescue is staffed exclusively by volunteers, most of whom have other full time jobs. Every effort is made to contact you regarding your request for surrender and to transition Pugs into foster care as quickly as possible but we ask your patience and flexibility as we work to make suitable arrangements for your Pug. Please keep in mind that we use Volunteer Foster Homes for the pugs and how quickly placement into rescue takes place is based on availability of an open Foster Home at the time of your request. In order to minimize the impact of the transition on the Pug, we ask you to surrender all the Pug's belongings (bedding, toys, crate, leash, food, medicines, food, etc.). Vet records are also essential in ensuring that the Pug receives proper medical care. Please be aware that upon surrendering the Pug, you must complete and sign a surrender form granting the Ohio Pug Rescue legal ownership of the Pug. Once a Pug is surrendered to the Ohio Pug Rescue, it cannot be returned.
I Agree I Do Not Agree
(Case Sensitive)