| Date & Referral Source | |||||||
| State: | Date of Application: | 09/24/2018 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
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| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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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? |
Jules and Pete | ||||||
Why do you want a Pembroke? |
I love how smart, curious, and at times stubborn corgis are! My husband and I have cared for a friend's corgis multiple times (multiple nights each time) and fell in love with their sweet, playful nature. Plus they are incredibly cute! Pete grew up with herding breeds (sheepdog and collies) and loves their energy. I did not grow up with dogs, but have always loved them. We want a dog that is affectionate yet independent, smart, and can be trained with commitment and time. We've done extensive research and based on that and our time spent with corgis, we really want one! I also work from home and am home alone often, so want a dog with a loud bark who is attentive. | ||||||
Activities planned with Pembroke: |
Long walks, dog park (if they are comfortable around other dogs), agility training, hanging out in our fenced in backyard, sitting at outdoor cafes and breweries. | ||||||
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: |
establish a routine, positive reinforcement (treats), say "outside" when accidents happen (focus on the positive) | ||||||
Discipline: |
see above, plus others I will learn at obedience school/with a trainer | ||||||
Where would Pembroke spend the majority of the time: |
with my in the living area of our home, sleep on a dog bed in our room | ||||||
Discipline: |
see above, plus others I will learn at obedience school/with a trainer Where would Pembroke spend the majority of the time: with my in the living area of our home, sleep on a dog bed in our room |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I work for home. | ||||||
Where would dog eat? |
in the kitchen | ||||||
Where would dog sleep: |
on a dog bed in our bedroom | ||||||
Play & exercise: |
We have a fenced in yard, which I will hang out in with the dog multiple times a day, as well as 2+ walks in our neighborhood | ||||||
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? |
3 sides are a 4+ foot high chain link fence, and 1 is a 6+ foot high wooden privacy 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: |
fenced in yard, all grass, plus a detached garage/driveway. | ||||||
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? |
Jules | ||||||
Willing to train children? |
We do not have children and are not planning to ever have any. | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
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Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Of course! We don't currently have pets, but would ensure we bring trainers in and slowly introduce any new pets to our dog in the future. | ||||||
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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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