| Date & Referral Source | |||||||
| State: | Date of Application: | 08/12/2018 | Referred by: | Friend | |||
| 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: |
Red & White, Red Headed Tri, Black Headed Tri | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
Being healthy is a big concern of mine, I would also want to meet them before making any decisions | ||||||
| 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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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? |
Myself | ||||||
Why do you want a Pembroke? |
Every time someone asks what kind of dog I want, I always say I want a corgi. I have had friends of mine with dogs and for what ever reason the corgi that they had was on of the most personality driven dogs I had ever met. I am currently living by my self, and want a dong that will get me out of the house and keep me active. I will be living in an apartment complex that is extremely dog friendly, to a point where that have monthly events meant for dogs to attend. I also have many friends with dogs and would have regular times every week for them to run around and attend the dog park. I not only want a corgi for a social reason, but also for a personal one. I have always had pets in my life to help me get through the hard times, weather that was cheering me up by running around and being a goof, or by laying on my lap giving me kisses and snuggles. i know that every dog is capable of doing that but there is nothing like a kiss from a corgi when it comes to cheering me up. | ||||||
Activities planned with Pembroke: |
I want to be able to walk my dog around the city I am living in, including urban areas and more rural river walks. As well as going to a hiking trail every now and then. I also want something that will be non aggressive towards other dogs, as I plan on attending dog parks and playmates with them to help keep them as well as my self, active and social | ||||||
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: |
A firm statement, along with an unhappy face, something along the lines of "No, Stop it." Every situation will be different, and it is hard for me to provide a specific example. Also rewarding with a happy tone as well as an occasional treat for good behavior and actions. Every one makes mistakes, but I would have to figure out the dogs personality before I commit to a way to treat it. | ||||||
Discipline: |
Depending on the situation the punishments could range from putting the dog down so it understand that it did something wrong, Making a loud noise so the dog understands it did something wrong, or even just some alone time, like a time out if the situation warranted it | ||||||
Where would Pembroke spend the majority of the time: |
Most of the Day we would be at home, however there would be plenty of time to be active throughout the average week. | ||||||
Discipline: |
Depending on the situation the punishments could range from putting the dog down so it understand that it did something wrong, Making a loud noise so the dog understands it did something wrong, or even just some alone time, like a time out if the situation warranted it Where would Pembroke spend the majority of the time: Most of the Day we would be at home, however there would be plenty of time to be active throughout the average week. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes and no, I am a college student so my scheduled varies from day to day, most of the time I would be cone for 2 hours and then come back after my scheduled classes. | ||||||
Where would dog eat? |
It would eat in the kitchen, and it would eat when I am eating so it understands when food time is for both of us | ||||||
Where would dog sleep: |
Like earlier as it get acclimated to its environment, it would stay in a caged in area, and depending on how things go, I have plenty of room on my bed if it was more comfortable being there. It all depends on the personality | ||||||
Play & exercise: |
A parented 30-90 minutes minutes of outside exercise a day, ranging from play dates with other dogs, going to the dog park, or even waking by a river or on a hiking trail. I also have a hammock so we can go for walks and take breaks in the middle by relaxing outside | ||||||
How will you exercise your dog? |
On leash | ||||||
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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: |
Not living in a 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? |
Samuel Burke | ||||||
Willing to train children? |
Of course, I am no where near having a child yet, but if that situation come to it, 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? |
na | ||||||
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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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