| Date & Referral Source | |||||||
| State: | Date of Application: | 08/16/2018 | 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: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Playful |
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? |
My boyfriend and I have been together for 3 and 1/2 years. We moved into a house with a fenced in yard in a quiet neighborhood. I’ve been thinking about getting a dog for a long time now, with Roger working from home and I want a little cuddle buddy on the weekends. I have always loved corgi’s and thought adoption would be the best alternative than simply buying a puppy. | ||||||
Why do you want a Pembroke? |
My best friend in high school owned and showed a welsh corgi. His name was tatoder and he was so friendly. I loved his wiggling little butt when he was happy and his ability to learn tricks such as “bang, bang” then lay down to play dead. He always wanted to go outside which motivated us to leave the couch. She never had any problems with him and grooming was never a big deal. I know they are low maintenance compared to my grandmas Pom. I take him to the groomer almost weekly! | ||||||
Activities planned with Pembroke: |
We have a dog park a few blocks from our house and we walk a lot now. We also go camping in the summer. I’d also like to have the ability to do puppy play days because my friends also have dogs. | ||||||
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: |
Correct it only if I see it. You can’t correct something you don’t see. The dog doesn’t know what you don’t like later if you go back and see something later. Needs to be during the action like “no potty” when you see them doing so in the house. | ||||||
Discipline: |
Well with Kiba if I see him doing something naughty I’ll say his name deeply. Not loudly just low with “im mad at you” and he stops immediately or I tell him the commands I taught him. Such as sit, off, back, no bark, and so on | ||||||
Where would Pembroke spend the majority of the time: |
Living room, kitchen, dining, our room, family room, yard. Pretty much where ever. | ||||||
Discipline: |
Well with Kiba if I see him doing something naughty I’ll say his name deeply. Not loudly just low with “im mad at you” and he stops immediately or I tell him the commands I taught him. Such as sit, off, back, no bark, and so on Where would Pembroke spend the majority of the time: Living room, kitchen, dining, our room, family room, yard. Pretty much where ever. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Roger works from home | ||||||
Where would dog eat? |
Kitchen | ||||||
Where would dog sleep: |
Our room | ||||||
Play & exercise: |
We have a fenced in yard and dog park as well as walks | ||||||
How will you exercise your dog? |
On leash | ||||||
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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? |
Brown wood closed fence | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
We have a small fountain with rocks in the left corner. We have green grass and a side walk from the back the the back gate. The back gate leads to the garage. We also have a side gate the get to the from of the house on the right side of the 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? |
Amber | ||||||
Willing to train children? |
They are my roommates | ||||||
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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? |
Absolutely | ||||||
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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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