Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 12/08/2020 | 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, Quiet, Playful |
Other preferences: |
About ourselves: Jacob prefers a dog that is on the quiet and tranquil side (although he does enjoy playful moments). I enjoy either spectrum, whether playful or lazy. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
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? |
For ourselves (Alicia & Jacob) | ||||||
Why do you want a Pembroke? |
We live in an apartment, so a small-to-midsized dog is best. I really enjoy teaching dogs new things and keeping them active through different types of stimulations. I’ve always had dogs that shed, so the fur is not a problem. Given the Corgis temperament, size, and intelligence, I feel that it is one of the few breeds that checks every requirement for my partner and I. We are aware of how vocal they can be, but through past experiences with other vocal dogs, I know that a lot of it is from lack of physical and mental stimulation. I work from home, so any Corgi that needs the extra attention or potty breaks is easy to accommodate. | ||||||
Activities planned with Pembroke: |
My partner and I go on a daily 4 mile walk/run (he runs and I walk/jog). We would take our Corgi with us to enjoy the trail. And afterwards (depending on how the Corgi reacts to the walk) we would take him to our local dog park to socialize and liberate any extra energy. | ||||||
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: |
Depends. Was it in their control or not? Do they know that it is wrong? If it was in their control and they know better, in a firmer voice say “No” and point at their mistake, then take them outside to finish their business. Clean up the area to eliminate the scent. If they broke something or are prone to chewing (like, munching on shoes) say “No” and simply try not leaving the items alone with the dog (for example, keeping the shoes in a closed closet) | ||||||
Discipline: |
I say “No” in a stern voice and facial expression while pointing to whatever it is that they did wrong. | ||||||
Where would Pembroke spend the majority of the time: |
In the apartment | ||||||
Discipline: |
I say “No” in a stern voice and facial expression while pointing to whatever it is that they did wrong. Where would Pembroke spend the majority of the time: In the apartment |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. I work from home. On the rare days I am required to go to the base (1-5 times ever 5 months), we are both out of the house by 5:30AM and Jacob is back by 12PM. | ||||||
Where would dog eat? |
Designated area of the apartment that has their food and water bowls | ||||||
Where would dog sleep: |
Dog bed | ||||||
Play & exercise: |
Will company us on our 4 mile run/walk. And then to the dog park if I see that they still have fuel to burn. Lots of mental stimulation and play at home | ||||||
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: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
N/A | ||||||
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? |
Alicia Regalado | ||||||
Willing to train children? |
We do not have kids. But if they come in the future, yes. | ||||||
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? |
Yes, always | ||||||
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} |