| Date & Referral Source | |||||||
| State: | Date of Application: | 05/23/2018 | 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, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Playful, Energetic |
Other preferences: |
I have a huge yard. I live across from a park with a huge field that allows dogs. All of my friends have dogs and my neighbor has a dog so if he/she can get a long if other dogs too. If not that's fine. I'll love he/she no matter what. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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| Dog 2 | |||||||
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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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? |
Me 😀and my family. | ||||||
Why do you want a Pembroke? |
I personally love the breed. Over the years have done research on breeds so I know what kind of dog I would like to get when I am able. I think that corgis are a good size, not so large that they can't sit on your lap,you butt so tiny that there is nothing there. I think they are playful and friendly beings that also like being couch potatos. I know that they are in good health and generally like 10-15 years. | ||||||
Activities planned with Pembroke: |
Cuddle, go for walks, take with me on occasional trips to see friends in Michigan. Help me be a bit more active, but also binge watch TV shows and be a couch potato. | ||||||
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: |
While my dog is making a mistake, calmly walk over to him and firmly say “No!” Showing disappointment in my facial expression and in the tone of my voice. Then immediately take the dog to the yard or the paper. | ||||||
Discipline: |
Clearly showing in my expression and body language when something they are doing is okay or not okay. If they do something wrong, show them to the yard or a cage for a short amount of time. | ||||||
Where would Pembroke spend the majority of the time: |
In my house, my backyard. | ||||||
Discipline: |
Clearly showing in my expression and body language when something they are doing is okay or not okay. If they do something wrong, show them to the yard or a cage for a short amount of time. Where would Pembroke spend the majority of the time: In my house, my backyard. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Only once during the week and weekends. | ||||||
Where would dog eat? |
In our dining room. | ||||||
Where would dog sleep: |
In it's own bed or my bed. | ||||||
Play & exercise: |
I would give it walks on the morning before work and after work. I would let it play in my large yard anytime it wants to, or take it for longer walks on the weekend. | ||||||
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's a white picket fence, but the spaces are not big enough for a dog to get through. | ||||||
Living arrangements: |
Living at home with parents | ||||||
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: |
Large yard. No fixtures other than a shed and a garage. | ||||||
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? |
Angela | ||||||
Willing to train children? |
Not currently applicable but yes | ||||||
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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? |
Yes | ||||||
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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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