| Date & Referral Source | |||||||
| State: | Date of Application: | 11/30/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 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 |
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 description: |
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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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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
He/she is for a young loving couple who wants to extend their love to a new family member! | ||||||
Why do you want a Pembroke? |
We love the cute, friendly, and playful nature of the Pembroke. We have always dreamed of having one but are not comfortable purchasing one as we are very much advocates for adopting animals. We love how smart they are because it would make playtime even more enjoyable. Additionally, Priscilla works at a nursing home where the employees are encouraged to bring their dogs to work with them, as the residents absolutely love them. There are two Corgis who frequently come to work with staff and from what we have seen, they are the perfect size and have great personalities for playing with the residents. Corgis are very affectionate dogs who are happiest around people and we would be very affectionate owners who are happiest around our dog. | ||||||
Activities planned with Pembroke: |
We plan on taking frequent trips to the nearby dog park, trying out different toys to keep it stimulated and happy, having it accompany Priscilla to work where it will be busy entertaining residents and staff, and cuddling on the couch after a long days work, | ||||||
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: |
It depends on the mistake. If it’s a voiding issue, such as urinating/defecating somewhere it is not supposed to, then we will keep a closer watch in order to pick up cues and we will take it out more frequently. Most importantly, we will reward the dog when it does what it is supposed to so that it associates the event (i.e. voiding outside) with rewards. | ||||||
Discipline: |
We are firm believers of positive reinforcement, meaning we will reward good behavior to encourage our dog to keep doing so. We are not comfortable with physical punishment, including isolation, as they are a part of our family. Distraction objects/activities, such as clickers and commands (sit) have been successful for our past dogs growing up, so we will be attempting those. | ||||||
Where would Pembroke spend the majority of the time: |
He/she would spend most of their time with Priscilla at her job, otherwise the dog will be at our home. | ||||||
Discipline: |
We are firm believers of positive reinforcement, meaning we will reward good behavior to encourage our dog to keep doing so. We are not comfortable with physical punishment, including isolation, as they are a part of our family. Distraction objects/activities, such as clickers and commands (sit) have been successful for our past dogs growing up, so we will be attempting those. Where would Pembroke spend the majority of the time: He/she would spend most of their time with Priscilla at her job, otherwise the dog will be at our home. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
4 times out of the week, there is no one home until 3:30pm. Otherwise only the two of us are there. | ||||||
Where would dog eat? |
In the kitchen out of their food/water bowls. | ||||||
Where would dog sleep: |
Preferably with us in our bed if the corgi desires to do so, otherwise their own bed/crate. | ||||||
Play & exercise: |
They will be visiting the dog park frequently, going on walks to our town center (10 minute walk there) that we visit often, lots of different toys, and when the weather is bad who can resist a good game of indoor fetch? | ||||||
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: |
N/A | ||||||
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? |
We both assume reaponsibility, however Priscilla will be spending the most time caring for the Corgi as she will have it with her at work. | ||||||
Willing to train children? |
We do not have children. | ||||||
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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. We will slowly introduce them through a door and ease our way up to closer interaction. | ||||||
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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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