GMPR Surrender Application
Green Mountain Pug Rescue understands how difficult it is to give up a family pet. The detailed information you provide here will help us to place your dog in the best home possible.

If you are surrendering a pug mix, our rescue needs a photo of your dog to be sent via email to Judy Douglas at Judy.Douglas@gmpr.org. GMPR Board of Directors needs to approve the pug mix into our rescue. We do take mixes, but the dog must look like a pug.
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Full Name *
Physical Address (Street, City, State & Zip Code) *
Phone Number *
Email Address *
Reason for surrendering your dog: *
How long have you had this dog? *
Veterinarians Name, Address and Phone Number *
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