Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/11/2021 | Referred by: | Website, Breeder | ||
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 | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
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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? |
Myself | ||||||
Why do you want a Pembroke? |
Ever since I was young, I've always wanted a corgi specifically. I love that they are "big dogs in small packages" and lead a very active, energetic lifestyle. As I live in an apartment in Chicago, size is also a big factor, and I believe that a corgi is the perfect size to not feel cramped, while allowing ample room to explore and stretch his legs. I grew up with a small Cocker Spaniel (who was a couch potato) and would like a dog that I can bring to the park and beach, but also one that likes to curl up on the couch with me. | ||||||
Activities planned with Pembroke: |
As someone who loves the outdoors and lives close to the lakefront and Lincoln Park, I would take my corgi out for walks daily and try and allow him to get as much open-space as possible. I am also an avid runner, and would try my best to train him to go on short jogs! My building is also equipped with two dog parks, so I think I would try very hard to allow him to interact with other dogs in the building. | ||||||
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: |
My research indicates that corgis are smart and fast learners, so I would use each "mistake" as a learning opportunity. I think my main goal would be to be calm and collected, as to not excite the dog, and redirect the mistake in to a more appropriate response, whether it be nipping, excessive barking, etc.. | ||||||
Discipline: |
I've learned that there is no perfect way to train a dog, so I would use a variety of different training and discipline methods. I think a combination of positive reinforcement (for good behavior) and appropriate discipline for negative behavior, including the use of noise and redirection of actions (i.e. nipping) would be useful. I am also considering formal obedience classes, as I know I am not an expert on the subject. | ||||||
Where would Pembroke spend the majority of the time: |
He would likely spend a good chunk, if not all of the day at home. My apartment has 2 on site dog parks that are usually pretty busy, and I live close to Lincoln Park and the Chicago Lakefront, which frequent. | ||||||
Discipline: |
I've learned that there is no perfect way to train a dog, so I would use a variety of different training and discipline methods. I think a combination of positive reinforcement (for good behavior) and appropriate discipline for negative behavior, including the use of noise and redirection of actions (i.e. nipping) would be useful. I am also considering formal obedience classes, as I know I am not an expert on the subject. Where would Pembroke spend the majority of the time: He would likely spend a good chunk, if not all of the day at home. My apartment has 2 on site dog parks that are usually pretty busy, and I live close to Lincoln Park and the Chicago Lakefront, which frequent. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I currently have 2 roommates, who are both working from home for the foreseeable future, along with myself. Therefore, there would be someone home to care for the corgi at all times. | ||||||
Where would dog eat? |
He would likely eat near the table we have in our kitchen/living room – far enough away from the table to create distance between human eating and his own. | ||||||
Where would dog sleep: |
Initially, the corgi would sleep in my room (I think a crate to start would be appropriate). But I ideally would be comfortable with the dog sleeping in my bed – they don't take up much space after all. | ||||||
Play & exercise: |
As previously stated, I live in a facility with two dog parks, and am close to Lincoln Park and the lakefront. I am an avid runner and lead an active lifestyle, and am ready to take him out 4-5x a day during the week, and 5-6x on the weekends. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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? |
No | ||||||
Description of yard: |
n/a – apartment | ||||||
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? |
Andrew Taylor | ||||||
Willing to train children? |
n/a – no children on premises or anticipated. | ||||||
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? |
n/a – no anticipated pets in the future | ||||||
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} |