Kentucky Resident Adoption Application

PLEASE READ BEFORE YOU SUBMIT YOUR APPLICATION!

  • This Application is for KENTUCKY residents ONLY!
    If you reside in Kentucky, please submit an Indiana Application.  
    If you are outside of the states of Kentucky and Indiana, please visit www.petfinder.org. Thank you!
  • KPR will not adopt to anyone with unaltered pets.
    If you have any dogs in your household that are not spayed or neutered, please do not submit an application. We have very strong feelings about the pet overpopulation and feel that all pets should be spayed and neutered. Thank you!
  • Adoption Donations are NOT negotiable.
    We understand that you may not agree, but we ask that you respect our policies. Please understand that we spend much more on medical bills than we recover in adoption donations for most of the Pugs we rescue, especially our senior Pugs.
  • Our Pugs do not come with a guarantee of physical condition All of our rescued Pugs are spayed/neutered, up-to-date on routine vaccinations, fecal tested and heartworm negative prior to placement. Although we do provide the medical treatment and testing listed above, please remember that our Pugs are rescues and therefore we have no way of guaranteeing that they will not have medical issues in the future.

When filling out the application below, use the TAB key to navigate from question to question.

Do NOT use the ENTER key.  Pressing the enter key will submit your application before you have completed.  

When you are finished and click on the Submit button, your application is emailed directly to KPR.  
If it was submitted successfully, you will receive a confirmation message. 

If you have problems submitting the application, please contact us. Thank you!

KENTUCKY RESIDENT ONLINE ADOPTION APPLICATION

FAMILY INFORMATION
Full Name *
Full Name
Street Address / Mailing Address *
Street Address / Mailing Address
Daytime Phone *
Daytime Phone
Evening Phone *
Evening Phone
Is there a member of your household who doesn't want a Pug or dislikes dogs? *
INFORMATION ABOUT YOUR RESIDENCE
Do you own or rent? *
Is your yard fenced? *
If No, do you plan on adding a fence for your Pug?
Do you have a pool or hot tub? *
If Yes, is the pool or hot tub securely fenced in so that the Pug will not have access to it?
Will your Pug have to climb any stairs over 1 inch in your home? *
Does your home have air conditioning? *
INFORMATION ABOUT CURRENT PETS
PAST HISTORY WITH PETS
Have you ever owned a Pug? *
VETERINARY INFORMATION
If you have no current pets, please list the information for your most recent veterinarian. YOUR APPLICATION WILL NOT BE PROCESSED WITHOUT THIS INFORMATION. You will also need to let your Veterinarian know that Kentuckiana Pug Rescue will be contacting them, and give your Vet authorization to release information to KPR.
I have contacted the Veterinarian listed above and given authorization for them to release information to Kentuckiana Pug Rescue. *
GENERAL PUG INFORMATION
Are you aware of the health problems that Pugs can have? *
Are you willing to take care of any health problems that may occur after adoption of your Pug? *
Do you know that Pugs shed 365 days a year? *
Do you know that Pugs snore? *
Pugs can live to be 14+ years old. Are you willing to have a Pug be a part of your life for that amount of time? *
Do you plan to enroll your Pug in obedience class? *
TYPE OF PUG YOU WOULD LIKE TO ADOPT
Would you adopt a Pug mix? *
Would you adopt a bonded pair of Pugs that have been together their entire lives? *
Are you willing to financially care for your Pug's health throughout his/her entire lifetime? *
Are you willing to have a home visit and interview? *
Are you willing to return your Pug to Kentuckiana Pug Rescue should any problems arise that force you to no longer care for your Pug? *
Is this Pug for someone else? *
Would you be willing to adopt a special needs Pug? *
REFERENCES
Please list the Names, Addresses and Phone Numbers of 3 References. IMPORTANT: At least 2 of these can NOT be relatives
Name, Address, Phone Number of Non-Relative Reference
Name, Address, Phone Number of Non-Relative Reference
Name, Address, Phone Number of Reference