Surrender Form
Back
Name, address & phone. Phone is required. If not living in Nashville. Please note how many miles you live from Nashville.
How soon do you need help with your pug?
Name and address of your current vet.
Name & age of the pug(s)that you are needing to surrender.
Please list any medical conditions that your pug has.
Do you have any questions or concerns about surrendering your pug to Music City Pug Rescue?
Does your pug use the following? Yes or No Heartworm protection? Flea and Tick? If so what kind? Any other?
When was the last time your pug had their vaccinations? Do you have a copy of their vet records?
How many hours per day does your pug spend outside?
Is your pug spayed or neutered?
Any Comments? Please type the following sentence to help us avoid spam: pug in a rug:
What is your email address?
Why are you surrendering your pug?
A phone number is required and
someone will be contacting within
24 hours. Thanks so much.
Please note that all adoptions are
private and adoption information
will not be given out to prior
owners without the adopters
consent. This application serves as
your legal document to permanently
relinquish ownership of your pug.
Under no circumstance will any pug
be returned to their owner once
surrendered.