| Date & Referral Source | |||||||
| State: | Date of Application: | 06/11/2018 | Referred by: | Other | |||
| 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: |
Other (Please describe in the box below.) |
Other preferences: |
I prefer a companion that is house-trained and that will not mark their territory, specifically for consideration with males. | ||||||
| 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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| 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? |
I am a single young professional looking for companionship now that I have settled into my own location/place. I am looking to be a new dog mom soon. I prefer a gently used rescue dog that is in need of TLC. Please let me know if you have any other questions. Thank you for your consideration. | ||||||
Why do you want a Pembroke? |
I am interested in adopting a corgi as I have found that many attributes of a Corgi fit my personality and needs. Corgis are not only adorable and full of spunk. Overall, Corgi's are smart, easy to train/eager to please and protect, loyal to their owners, good with families/other dogs, simple enough for an owner to groom, tolerant in a multitude of environments, and conveniently compact enough to live and claim a moderately sized 2 bedroom apartment. | ||||||
Activities planned with Pembroke: |
I plan to spend as much time as possible with my Corgi. I work full time, but plan to spend my time cuddling and exploring with my companion. I enjoy long walks, and trips to the dog park regularly, now I will have even more reason to go. | ||||||
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: |
I would NOT use VOILENCE as a means go discipline. In order to correct/attempt to correct a mistake, I would use negative reinforcement or a time out. If needed, to prevent behaviors I would utilize crate training. | ||||||
Discipline: |
I look up to Caesar Millan, being consistent, calm, and assertive. I plan to establish rules early and but in time and effort to training with positive reinforcement. I plan to closely minimize opportunities for accidents, monitor behaviors in order to instruct and correct the behavior/offer alternative behavior versus disciplining after the fact. | ||||||
Where would Pembroke spend the majority of the time: |
In my apartment-I am a full time worker, so I would leave my companion free to roam around freely when I am home. I would likely leave my pal uncaged even during the day while I am working, unless they are kennel trained/prefer to be in a kennel. I would investigate hiring a dog walking service to stop in to see my pal during the day. When I am not working, I plan to exercise or relax with my furry baby. | ||||||
Discipline: |
I look up to Caesar Millan, being consistent, calm, and assertive. I plan to establish rules early and but in time and effort to training with positive reinforcement. I plan to closely minimize opportunities for accidents, monitor behaviors in order to instruct and correct the behavior/offer alternative behavior versus disciplining after the fact. Where would Pembroke spend the majority of the time: In my apartment-I am a full time worker, so I would leave my companion free to roam around freely when I am home. I would likely leave my pal uncaged even during the day while I am working, unless they are kennel trained/prefer to be in a kennel. I would investigate hiring a dog walking service to stop in to see my pal during the day. When I am not working, I plan to exercise or relax with my furry baby. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No-but I plan to look into a dog walking service for when I am working during the day. | ||||||
Where would dog eat? |
I would provide a secluded area with controlled meals for my companion to dine, with plenty of water. | ||||||
Where would dog sleep: |
I plan to provide a kennel for my corgi, along with a dog bed. However, I would prefer that my companion sleep alongside me. | ||||||
Play & exercise: |
I plan to look into a dog walking service to give my companion some opportunities to exercise during the day. Otherwise, I plan to walk my pal regularly (2X a day), and will likely take him/her to the nearest dog park several times a week. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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Fenced yard? |
No, I don’t have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
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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: |
No, my landlord has not given me permission to adopt a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
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Description of yard: |
I do not have an independent yard | ||||||
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? |
Meghan Bundy | ||||||
Willing to train children? |
I would provide supervision during interactions and make sure to introduce children and pets slowly with one another. | ||||||
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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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