| Date & Referral Source | |||||||
| State: | Date of Application: | 10/16/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
I am not in a rush to adopt. I am more concerned about finding a dog that is a perfect match for me. Ideally, I would like to adopt after the new year (1/2019) but I figured it would be a good idea to submit an application in advance. I am happy to speak more with someone about anything on my application. Thank you for your time and consideration. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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| Dog 2 | |||||||
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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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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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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? |
I love how versatile the Corgi is. They are both adorable and hardy, and extremely affectionate. I want a companion who is up for a good adventure and who loves its people, and Corgis fit the bill. I also appreciate that they are a typically healthy breed while acknowledging that common ailments such as hip dysplasia can occur as the dog becomes older. | ||||||
Activities planned with Pembroke: |
Walks on leash, local dog park off leash once dog is acclimated, perhaps swimming and boating if the opportunity arose. Basic obedience classes would be excellent. | ||||||
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: |
Depending on the mistake made, firm but not unking verbal reprimand and move the dog away from the problem area. Also being proactive to prevent mistakes (i.e. getting into the garbage – keep the dog away from the garbage, keep the garbage sealed). | ||||||
Discipline: |
Positive reinforcement, affection, toy or treat based depending on the dog's motivation | ||||||
Where would Pembroke spend the majority of the time: |
In my home when not out on walks | ||||||
Discipline: |
Positive reinforcement, affection, toy or treat based depending on the dog's motivation Where would Pembroke spend the majority of the time: In my home when not out on walks |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Not between 7 and 4, but I am willing and interested in hiring a walker during the day. | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
On its own bed/in its own crate, depending on what the dog is used to | ||||||
Play & exercise: |
At least 3 daily walks of 30 minutes or more, opportunities to go to the dog park multiple times per week. | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
I live in an apartment building that has a fenced in dog run outside. | ||||||
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? |
Kate Burke | ||||||
Willing to train children? |
Yes but there are no children currently in my life so this is not a concern. | ||||||
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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, but this is a non-issue as I am not a pet owner and do not plan on adopting other pets at this time. | ||||||
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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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