| Date & Referral Source | |||||||
| State: | Date of Application: | 07/31/2018 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.) |
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? |
It is for me | ||||||
Why do you want a Pembroke? |
I already have a female corgi, she was very playful, understanding and very obedient, even at her advanced age she was able to play, run and was very very friendly with people, was an attraction center every time she went somewhere | ||||||
Activities planned with Pembroke: |
Hiking, beach walks, swim, home time and play at least 2 hours a day | ||||||
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: |
Just talk to him and show him with authority but at the same time with love that it made a mistake and maybe put some restrictions with things the dog likes to do for short periods of time, so the dog understands that is not correct and he won’t to do it again | ||||||
Discipline: |
Comands, talking to him, use a newspaper roll as a sign of authority but not using physical contact with him to avoid aggression and attitude changes or traumas in the dog, the most effective of course would be professional training before any other methods | ||||||
Where would Pembroke spend the majority of the time: |
At home, during the work day, at evenings can be in different activities and of course the regular walks for fun and it needs | ||||||
Discipline: |
Comands, talking to him, use a newspaper roll as a sign of authority but not using physical contact with him to avoid aggression and attitude changes or traumas in the dog, the most effective of course would be professional training before any other methods Where would Pembroke spend the majority of the time: At home, during the work day, at evenings can be in different activities and of course the regular walks for fun and it needs |
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House dog or outside dog? |
Outside dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
At home preferably | ||||||
Where would dog sleep: |
In my bedroom preferably, and he is gonna have his own space inside the house with proper temperature and visible windows to the street | ||||||
Play & exercise: |
At least 1-2 hours a day in open but safe areas and closed yards, at the pool and hiking with proper leash and food | ||||||
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: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
No house | ||||||
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? |
Juan Camilo figueredo | ||||||
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 | ||||||
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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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