| Date & Referral Source | |||||||
| State: | Date of Application: | 12/14/2017 | 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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
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 | |||||||
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Who is this dog for? |
Applicant 1 | ||||||
Why do you want a Pembroke? |
My previous experience with corgis comes from personal experience (I previously rescued another corgi that lives with parents). I enjoy the temperament of the dogs, as well as their sass. They are very loyal dogs who will tell you exactly how they feel. They are polite with guests and neighbors, but will guard you when necessary. They are big dogs on little legs, which makes them a great size too. | ||||||
Activities planned with Pembroke: |
Corgis need exercise to maintain a healthy weight. I plan to take the dog on walks around the neighborhood as well as longer nature hikes. I also have a fenced in yard where the corgi can play fetch and run around. Depending on how well the dog gets along with others, there is also the chance of doggie play dates. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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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: |
Clean up the mess or mistake and lots of patience. | ||||||
Discipline: |
Positive reinforcement and lots of treats! | ||||||
Where would Pembroke spend the majority of the time: |
Wherever the dog is comfortable. If it wants to sleep in their dog bed, hang out in their crate, or sit with me, I will let the dog decide. | ||||||
Discipline: |
Positive reinforcement and lots of treats! Where would Pembroke spend the majority of the time: Wherever the dog is comfortable. If it wants to sleep in their dog bed, hang out in their crate, or sit with me, I will let the dog decide. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, myself. I work from home most days of the week. | ||||||
Where would dog eat? |
I would have the food bowls in the kitchen. | ||||||
Where would dog sleep: |
It depends on where the dog is comfortable. If it prefers to be in their crate, I will let them sleep there. If the dog prefers to be near me/on the bed, that is fine too. | ||||||
Play & exercise: |
The dog will have the yard open to the (depending on the weather). We will also go on a walk at least once a day and play in the house to make sure the dog has lots of stimulation. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
It is a chain-link fence approximately 5 ft high. | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
Fenced in yard with bushes and trees. Patio close to the house. No pool or deck. | ||||||
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. | ||||||
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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? |
Carol Poskay | ||||||
Willing to train children? |
Absolutely. It will also ensure that they treat all animals well. | ||||||
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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? |
Absolutely. I know that the relationship between my cats and the dog will take time to form and grow. I also recognize it may be a little rough in the beginning. I plan to give all the animals the necessary space (via baby gates or other blocks if necessary) to ensure that both feel safe and secure in the home. | ||||||
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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. | ||||||
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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: |
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