Date & Referral Source | |||||||
State: | Date of Application: | 09/27/2017 | Referred by: | Website | |||
Contact Information | |||||||
First name: | Last name: | First name 2: | Last name 2: | ||||
Address | |||||||
Street: | |||||||
City: | State: | Zip: | |||||
Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Sable & White, Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
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Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? |
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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? | |||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
Myself (Eric) | ||||||
Why do you want a Pembroke? |
I want to adopt a Corgi because they're a small/medium dog but they're still known for being trainable, intelligent, energetic, and playful. They also aren't known to bark much; these traits contrast with mother other smaller breeds that come to mind and wouldn't like large amounts of activity or bark easily. I also just love they way they look and their fur length. | ||||||
Activities planned with Pembroke: |
Walking, jogging, playing, cuddling and training. I'm specifically moving into an apartment that has a large fenced dog run so hopefully she will see other dogs quite often as well. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
Money for basic care? |
Yes | ||||||
Money for unforeseen medical expenses? |
Yes | ||||||
Willing to house train? |
Yes Willing to do formal training? Yes |
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Do you have a veterinarian? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
It depends on the situation, but re-direction would be the main drivers on bad behavior.
Something like a house mess I think it's important to make it known that what they did was an issue if they didn't already immediately after., but with my previous dog for messes they were fully aware they weren't supposed to go so there was no follow-up needed. They only made messes because they could no longer hold it due to eating something bad. |
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Discipline: |
N/A, see above. | ||||||
Where would Pembroke spend the majority of the time: |
Likely in my bedroom; I keep my computer in there as well. | ||||||
Discipline: |
N/A, see above. Where would Pembroke spend the majority of the time: Likely in my bedroom; I keep my computer in there as well. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I will have a roommate with varying hours. | ||||||
Where would dog eat? |
Freshpet® Select Grain Free Tender Chicken (Log or Kibble form) | ||||||
Where would dog sleep: |
Bedroom; on bed or their own dogbed depending on what they prefer. | ||||||
Play & exercise: |
At least one extended walk/jog a day in the morning, and playing/training in the afternoon. Walking may go down in winter since it's Minnesota but inside activity would go up. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
Fenced in dog run, about a half acre shared with the apartment. | ||||||
Living arrangements: |
Rent/lease home | ||||||
Landlord info: |
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May we contact your landlord? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
Apartment; has pool, fenced in dog run, barbecue area. Plenty of walking paths nearby as well. | ||||||
Household members: |
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Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
May we do a home visit? |
Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke. | ||||||
Who will be responsible for the adopted corgi’s care? |
Eric | ||||||
Willing to train children? |
N/A | ||||||
Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
Yes, all of our current pets are friendly toward dogs. | ||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
N/A | ||||||
Lifetime commitment to Pembroke? |
Yes, I am willing to commit to this dog for the rest of its life. | ||||||
Return to Lakeshore if unable to care for Pembroke? |
Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it. | ||||||
Understand no guarantees? |
Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt. | ||||||
Carefully considered the pluses and minuses of adopting a pet? |
Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences. | ||||||
Personal references: |