Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 06/23/2020 | Referred by: | Website | ||
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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
We are very open to different activity levels because between Noah and Melanie we both have very flexible schedules. Melanie works a combination of in home and in office, and Noah is very athletic and active. Melanie enjoys walks, and Noah enjoys both walks and runs. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
|||||||
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 Pembroke would be cared for by both Noah and Melanie. We are passionate about the breed and feel our lifestyles would be very accommodating. | ||||||
Why do you want a Pembroke? |
We love the personality of larger dogs, but living in an apartment it is important that we do not get a dog too large! Close friends of ours have Pembroke's and that is what really introduced us into their loving personalities. The two of us live very complimentary lives to the needs of a Pembroke as well, as we both are often home and enjoy spending time outside. We also have a backyard as well to ensure there is time to spend running outside! | ||||||
Activities planned with Pembroke: |
We would like to go on walks, and jogs. Also, Melanie's sisters pug lives down the street so it would be great for them to play together. Dog parks are nearby as well to get more socialization in. On rainier days, and late nights we look forward to snuggles and learning new tricks inside! | ||||||
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 |
||||||
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: |
I would show disappointment by pointing and firmly saying "No, that is not ok." If it was a repeated issue I would definitely reach out to the teacher of the pet classes we would plan on taking. | ||||||
Discipline: |
Talking firmly, and correcting actions from the beginning, not waiting to do so. | ||||||
Where would Pembroke spend the majority of the time: |
In the apartment as well as in the backyard! | ||||||
Discipline: |
Talking firmly, and correcting actions from the beginning, not waiting to do so. Where would Pembroke spend the majority of the time: In the apartment as well as in the backyard! |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Melanie alternates between working from home and in the office. Noah primarily works in the office. | ||||||
Where would dog eat? |
We would set up a station in the kitchen area. | ||||||
Where would dog sleep: |
In the human bed for snuggles. | ||||||
Play & exercise: |
We are both very playful and would like to teach games in the apartment. Melanie's sister has a pug who lives down the street who would love a new friend. There are local dog parks we would like to attend after first assessing that all the dogs there seem friendly. Noah is a avid runner who could use a companion on the routes and Melanie and Noah both enjoy walks so the Pembroke would join in on those too! | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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? |
There is a metal fence surrounding the whole backyard | ||||||
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? |
No | ||||||
Description of yard: |
The backyard just has chairs and a grill and is fenced in. | ||||||
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? |
Melanie Hively | ||||||
Willing to train children? |
Yes, we do not have any kids but there are some younger kids sometimes at family affairs. We would be so excited to share the Pembroke's enthusiasm and playfulness with the children to teach them how to play correctly. | ||||||
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? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
No other pets. | ||||||
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} |