| Date & Referral Source | |||||||
| State: | Date of Application: | 12/08/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Male, Either a Male or a Female | Color preferred: |
Black Headed Tri, Sable & White, Any color | Activity level: |
Couch Potato, Playful, Energetic, Other (Please describe in the box below.) |
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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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? |
First applicant, Martiyana, will be primary owner. She is experienced with dogs having owned two previously. | ||||||
Why do you want a Pembroke? |
I have never owned a corgi of my own before, but I have a close friend who has one and I just adore how much personality they have! They seem to be such a darling breed and I would love to own one of my own someday. I have done a great amount of research on the breed and realize that every dog is different, but their generally fun, playful, and loving temperaments are exactly what I’m looking for in a dog. | ||||||
Activities planned with Pembroke: |
I love taking my current dog for walks, but as he grows older he’s not enjoying them as much anymore, As such, I would love to have a dog who can go for walks, play fetch with me, and just cuddle up after a long day, | ||||||
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: |
I believe in strictly positive reinforcement training for dogs. If my dog makes a mistake, I tend to quickly redirect them into doing what is right. For example, during house training, if I see my dog committing the act of doing their business indoors, I will quickly take them outside instead and give them a reward every time they do it outside, Or if the dog was chewing on furniture, a quick fix would be to redirect its attention to a toy. If they make a mistake while I am not around, I will simply ignore it and fix it as dogs do not understand delayed punishment at all. | ||||||
Discipline: |
I do not use any kind of punishment with my dogs. Positive reinforcement and distractions from the problem only, | ||||||
Where would Pembroke spend the majority of the time: |
They would spend most of the time roaming the house as they please, playing or cuddling with me, or out in the backyard. | ||||||
Discipline: |
I do not use any kind of punishment with my dogs. Positive reinforcement and distractions from the problem only, Where would Pembroke spend the majority of the time: They would spend most of the time roaming the house as they please, playing or cuddling with me, or out in the backyard. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, there is usually almost always at least one person home at all times. | ||||||
Where would dog eat? |
In the kitchen from specified dog bowls. | ||||||
Where would dog sleep: |
In a crate with a dog bed or with me depending on the dog’s own preferences. | ||||||
Play & exercise: |
Toys, walks, going out in the backyard, and playing with me. They will be able to get as much exercise as their energy allows I believe. | ||||||
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? |
The front of it is a wire fence while the back is wooden, | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
My yard has a patio and a garage. It has plenty of grass and a single concrete walkway. | ||||||
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? |
Martiyana Garfield | ||||||
Willing to train children? |
N/A, no children in household, | ||||||
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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? |
Yes, I will always do my best to assure that the animals at least get along. If problems arise, I will seek advice, as I have yet to experience a dog not getting along with my current dog. | ||||||
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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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