| Date & Referral Source | |||||||
| State: | Date of Application: | 11/12/2018 | 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, Energetic |
Other preferences: |
We don't have a yard, although I am planning on exercising whatever dog we get at least once a day, if not more. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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| Dog 2 | |||||||
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| Dog 3 | |||||||
Dog 3 name: |
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| Dog 4 | |||||||
Dog 4 name: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Both Adam and I | ||||||
Why do you want a Pembroke? |
1. Every Pembroke that I have ever met has been very friendly and sweet, which we want in a dog. We do hope to have kids someday, so we don't want a dog that is not friendly. 2. Pembrokes are one of my favorite breeds, and one of the breeds that my husband and I can agree on. I grew up with only large dogs; he grew up with only small dogs, but we both agree that a Corgi would be perfect. 3. I have read about Pembrokes, both online and in books. |
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Activities planned with Pembroke: |
1. I am an avid runner. I would take him/her on easy runs (not my workouts), which usually consist of a mile or two at a very easy pace. 2. All the walkies! We have access to the Fred Meijer Standale Trail from our apartment. We are also only a five minutes' drive from Millenium Park, Aman Park, and downtown GR. 3. Dog parks |
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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? No |
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Do you have a veterinarian? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
I would firmly yet kindly let him/her know that it was a mistake, but I do not believe in yelling at dogs, kicking/hitting them, or any other form of intense punishment. | ||||||
Discipline: |
Positive affirmation/rewards. That works with my students, and it worked with Kiwi, our Lab. | ||||||
Where would Pembroke spend the majority of the time: |
In our apartment or on walkies/car rides with us. We moved to Walker recently, but we plan to find dog-friendly places to go so our dog can go with us whenever we go out. | ||||||
Discipline: |
Positive affirmation/rewards. That works with my students, and it worked with Kiwi, our Lab. Where would Pembroke spend the majority of the time: In our apartment or on walkies/car rides with us. We moved to Walker recently, but we plan to find dog-friendly places to go so our dog can go with us whenever we go out. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Right now, Adam is home all afternoon on Tuesdays, Thursdays, and Fridays. Mondays/Wednesdays we're both at work for eight hours. On weekends one of us is almost always home, except for Mass. | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
If he/she feels more comfortable in a crate, then in there. If not, we are fine with him/her sleeping in his/her own bed in our room, or on the couch, or in his/her own bed in the living room if he/she prefers. | ||||||
Play & exercise: |
We live very close to Aman Park, Millenium Park, and downtown GR. We also have access to the Fred Meijer Standale Trail from our apartment. One or both of us (but mostly Emily) would take him/her for walkies every day, at least once or twice (more if necessary). I would also bring him/her on easy runs with me, and to dog parks. | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
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Description of yard: |
Note: We are currently on a waiting list to move into a dog-friendly building. As such, our current lease does not allow dogs. However, our landlord has approved us to move to an apartment that allows pets. The move should take place in the next two months. | ||||||
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? |
Emily Sousa | ||||||
Willing to train children? |
Yes | ||||||
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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? |
Yes | ||||||
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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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