| Date & Referral Source | |||||||
| State: | Date of Application: | 12/15/2018 | 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: |
Any age | 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 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? |
Maria and Mathew | ||||||
Why do you want a Pembroke? |
My fiencee and I love the welsh corgi! Corgi means dwarf dog in welsh and im a little person! We really want this dog because of the fact that we want a kid but can't! So we want to spoil a dog that will be ours and want plenty of love! I had a corgi as a child and i loved it cause it was a normal dog but short like me 🙂 honestly we have looked this type of dog up so much just cause we want one so badly! | ||||||
Activities planned with Pembroke: |
Go to the dog park! Walk it everyday! Give it so much love! I promise its going to be beyound spoiled! We have a big yard and all the supplies already | ||||||
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: |
Tell it no! Make sure he/she will know it wasnt ok just by saying no and taking it ouside | ||||||
Discipline: |
Scold it. 🙁 | ||||||
Where would Pembroke spend the majority of the time: |
In our home with me! Or outside qt a pet park or something pet related! | ||||||
Discipline: |
Scold it. 🙁 Where would Pembroke spend the majority of the time: In our home with me! Or outside qt a pet park or something pet related! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes! My brother lives with me and he will be there 24/7 just in case | ||||||
Where would dog eat? |
In the kitchen or wherever its comfortable | ||||||
Where would dog sleep: |
In bed with us! Or we have a bed for our soon to be pup at the end of our bed! | ||||||
Play & exercise: |
As soon as we pick her up from the baby sitters we are planning on taking her to a dog park for a couple hours and then go jome and eat, and then we wanna take her or him for an evening walk! | ||||||
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? |
Its wood goes about six feet! Theres only one side that doesnt have it and we plan on putting one up on that side | ||||||
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: |
Big with a giant oak tree in the middle, thats it. Hopefully a dog house soon! | ||||||
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? |
Maria and Mathew | ||||||
Willing to train children? |
Yes of couse! | ||||||
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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! This corgi is our dream dog! If they dont like it they can get out! | ||||||
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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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