Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/19/2020 | Referred by: | Friend | ||
Contact Information | |||||||
First name: | {First Name:98} | Last name: | {Last Name:97} | First name 2: | {First Name 2:94} | Last name 2: | {Last Name 2:93} |
Address | |||||||
Street: | {Street Address:3} | ||||||
City: | {City:4} | State: | {State:5} | Zip: | {Zip:6} | ||
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, Female, Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
We would be able to walk him and give him lots of attention, but as we live in an apartment, we cannot have a fence for them. We have plans to move in the future though. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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Dog 1 name: |
{Dog Name (Most recent/ current first):24} | ||||||
Dog description: |
{Description of Dog:25} | ||||||
How long owned? |
{Length of time owned:26} | ||||||
Where is this dog now? |
{Where is this dog now? (Explain if you no longer have the dog):37} | ||||||
Dog 2 | |||||||
Dog 2 name: |
{Dog Name (Most recent/ current first):30} | ||||||
Dog description: |
{Description of Dog:33} | ||||||
How long owned? |
{Length of time owned:35} | ||||||
Where is the dog now? |
{Where is this dog now? (Explain if you no longer have the dog):39} | ||||||
Dog 3 | |||||||
Dog 3 name: |
{Dog Name (Most recent/ current first):29} | ||||||
Dog description: |
{Description of Dog:32} | ||||||
How long owned? |
{Length of time owned:36} | ||||||
Where is dog now? |
{Where is this dog now? (Explain if you no longer have the dog):27} | ||||||
Dog 4 | |||||||
Dog 4 name: |
{Dog Name (Most recent/ current first):28} | ||||||
Dog description: |
{Description of Dog:31} | ||||||
How long owned? |
{Length of time owned:34} | ||||||
Where is this dog now? | {Where is this dog now? (Explain if you no longer have the dog):38} | ||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
This is for my fiancee and I. | ||||||
Why do you want a Pembroke? |
Obviously, they're one of the cutest animals and soft and fluffy, but aside from that, I'm looking to propose to my girlfriend and I believe having a corgi will be a great way to start out our little family. We definitely need something to help keep us active and because Corgis need such attention and activity it would be perfect for us. We've talked about getting a dog for years and I think its a great time to pull the trigger and find one to love! | ||||||
Activities planned with Pembroke: |
Daily walks would be a great starter. Constant attention giving and games inside are fine too, but shouldn't take away from their need to get physical activity. We love doggy parks and if the dog is great with other animals we would love to bring him or her with us to get some air, meet other cute puppers, and mingle. Also of course, belly scritches. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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: |
{If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52} | ||||||
Will handle mistakes Pembroke makes like this: |
Act quick! I wouldn't hurt the dog by any means, but he should understand what he did is not okay. If I don't nudge him right away, he won't know what he did wrong. Telling him "No!" is adequate I think, but obviously I have to be harsher if he's not understanding. Again, I would never hurt the animal, but my tone can really tell the animal a lot and that is plenty.
After adequate time, they can have belly scritches again. |
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Discipline: |
Nothing physical. Just verbal and obvious motions that make me seems upset. I would put it in terms that they can understand. | ||||||
Where would Pembroke spend the majority of the time: |
In the apartment, or with my girlfriend until she moves in, but outside would be our ultimate goal for him if he could enjoy more out door time (or she). | ||||||
Discipline: |
Nothing physical. Just verbal and obvious motions that make me seems upset. I would put it in terms that they can understand. Where would Pembroke spend the majority of the time: In the apartment, or with my girlfriend until she moves in, but outside would be our ultimate goal for him if he could enjoy more out door time (or she). |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
All day! | ||||||
Where would dog eat? |
We'd probably leave his/her dog food in the kitchen. | ||||||
Where would dog sleep: |
He would have his own bed, but every once in a while he can sleep with us 🙂 | ||||||
Play & exercise: |
Fetch and toys are great starters, but runs and walks are the best way to get him out. My girlfriend has a yard and so we could keep him out in the yard while he's there. When we inevitably move, we hope that we find a place with him/her in mind! | ||||||
How will you exercise your dog? |
On leash | ||||||
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: |
{If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67} | ||||||
May we contact your landlord? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
No, my landlord has not given me permission to adopt a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
For the above bullet points, my lease permits dogs, but I need to talk with the landlord to actually obtain the dog. It would just be another fee added on top, and as long as the dog is not aggressive, its fine. It would be a simple process to get the green light!
I've also owned many dogs in my childhood and have great experience from that to care for the pupper 🙂 N/A |
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Household members: |
{Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75} | ||||||
Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
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? |
Christopher You | ||||||
Willing to train children? |
Of course! | ||||||
Any allergies? |
No one is allergic. | ||||||
Current pets: |
{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80} | ||||||
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? |
Of course. | ||||||
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. | ||||||
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: |
{Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87} |