| Date & Referral Source | |||||||
| State: | Date of Application: | 06/17/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
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? |
Our Family | ||||||
Why do you want a Pembroke? |
We want a Pembroke Welsh Corgi because we want to give our dog a companion. We have been doing research off and on the past few months and we came across this breed. Pembroke Welsh Corgi's are everything we want in a dog. We love that they are a smaller sized breed that is very loyal. We once had our dog play with a corgi and they did very well together and we very much enjoyed having that breed in our house for a few hours and it seemed to enjoy its time here too. We have been doing our research to make sure we have the right dog for our house. | ||||||
Activities planned with Pembroke: |
We would take walks with our Pembroke. In addition we would also let our Pembroke play outside with our other dog. We would make sure the Pembroke is very loved and happy no matter when the situation is. | ||||||
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: |
We would tell them "No!" sternly and then provide guidance on the correct way. We would repeat this method using treats if necessary until the Pembroke learned the correct way. | ||||||
Discipline: |
*Stern No *Treat reward system *Redirection |
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Where would Pembroke spend the majority of the time: |
At home, Angie works from home during the day and we are home most evenings.. When we are gone, the Pembroke would be kenneled so that he/she feels safe until we return. | ||||||
Discipline: |
*Stern No *Treat reward system *Redirection Where would Pembroke spend the majority of the time: At home, Angie works from home during the day and we are home most evenings.. When we are gone, the Pembroke would be kenneled so that he/she feels safe until we return. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, Angie works from home during the day. We all are home most evenings and weekends as well. | ||||||
Where would dog eat? |
In a designated area in the kitchen | ||||||
Where would dog sleep: |
If the Corgi is a puppy, we would kennel train him/her for at night. Once he/she is older, we would test letting them roam free in the house. | ||||||
Play & exercise: |
We will let he/she play with toys, our other dog, and we have a large yard with plenty of room for them to run and play. We will also throw a ball or a Frisbee. All of these options will be offered to them regularly. | ||||||
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: |
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: |
1 Acre surrounded by a natural lot line of trees and bushes. | ||||||
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? |
Shared (with both adults closely monitoring to be sure nothing is missed) | ||||||
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? |
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, we will work on training and letting the dogs get to know each other. | ||||||
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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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