| Date & Referral Source | |||||||
| State: | Date of Application: | 06/01/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Female | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
I am applying here because I do not want to purchase from a breeder. We'd rather have a rescue dog. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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? |
Mainly myself and girlfriend of almost 5 years. | ||||||
Why do you want a Pembroke? |
Their inelegance and size are what drew me to them. One of my neighbors back in the day had a Cardigan Welsh Corgi that we took on walks. She had a huge personality and was somewhat independent but very loyal. I like those aspects. I have tried to do some research about the difference between the two and haven't really found anything other than their history. | ||||||
Activities planned with Pembroke: |
I run regularly so I would be taking the dog for runs. We used to dog sit a lot and have a few dog parks around town that we visit. | ||||||
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: |
Try to catch it early and try to train the Pembroke not to make it again if possible. | ||||||
Discipline: |
The dogs we dog sat all had their own spray water bottle that we occasionally used. | ||||||
Where would Pembroke spend the majority of the time: |
Most of the time at our home. | ||||||
Discipline: |
The dogs we dog sat all had their own spray water bottle that we occasionally used. Where would Pembroke spend the majority of the time: Most of the time at our home. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, I work and go to school for about 5 hrs a weekday. I do have a lunch break that I can take at home. My girlfriend also has a similar schedule but works 8 hrs a weekday. | ||||||
Where would dog eat? |
next to our kitchen. | ||||||
Where would dog sleep: |
hopefully in a large crate or dog bet in the bedroom. | ||||||
Play & exercise: |
I run regularly and will be able to take the dog out on those. We have trails very close to our house for walks and a few dog parks. | ||||||
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? |
about 4 foot high black chain link fence. | ||||||
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? |
No | ||||||
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Description of yard: |
no pool. good size for a medium size dog with a 4 foot fence | ||||||
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? |
Gaurav Kakhandki | ||||||
Willing to train children? |
Yes | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
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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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