| Date & Referral Source | |||||||
| State: | Date of Application: | 08/12/2018 | 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, 3 years – 5 years, 5 years – 10 years, 10 years + | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, 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? |
Myself and my fiance. I have a Welsh Cardigan Corgi and my fiance has an Old English Sheepdog. They love each other so much and we're looking to grow our fur-family. | ||||||
Why do you want a Pembroke? |
I've been obsessed with corgis for about 5 years and found my little girl Zero in 2016. I love their personality, how loving and smart they are and how goofy they can be. | ||||||
Activities planned with Pembroke: |
Walks, running in the backyard, dog park visits, doggie pool events, walking around local farmers markets and dog-friendly venues. | ||||||
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? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
Tell them no and redirect their attention somewhere else and give them praise when they do what you direct them to. | ||||||
Discipline: |
Say no and redirect. If necessary, separate them from the other dogs with their kennel for a little while so they can "cool down". | ||||||
Where would Pembroke spend the majority of the time: |
If I'm at work – in their kennel or sectioned off in the living room. I get to take my dogs with me to work Wed. – Fri. so they would be adventuring with me one or more of those days. | ||||||
Discipline: |
Say no and redirect. If necessary, separate them from the other dogs with their kennel for a little while so they can "cool down". Where would Pembroke spend the majority of the time: If I'm at work – in their kennel or sectioned off in the living room. I get to take my dogs with me to work Wed. – Fri. so they would be adventuring with me one or more of those days. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I am home on the weekends. Mon. and Tues. my fiance is home. He works evening, so the dogs are by themselves for an hour or two before I get home. | ||||||
Where would dog eat? |
Our dogs eat out of their own bowls in different areas of the living room. | ||||||
Where would dog sleep: |
Our dogs sleep in our bed, on their doggie beds, or in their kennels. | ||||||
Play & exercise: |
Our dogs play outside in our large backyard every day. Weather and heat permitting, we go to the dog park as often as possible in the evenings and weekends. We attend doggie events in the area too to socialize and have fun. | ||||||
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? |
I have a 6 foot, wooden privacy fence. | ||||||
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: |
We have a back porch, patio, rock garden, flowers and a storage shed. | ||||||
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? |
Olivia | ||||||
Willing to train children? |
Yes, we help teach our friend's kids how to treat animals and care for them. | ||||||
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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? |
The cats really keep to themselves in the basement, but occasionally come up to say hello. | ||||||
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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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