| Date & Referral Source | |||||||
| State: | Date of Application: | 08/07/2017 | 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: |
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: |
Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
We have two cats–ages 8 and 6 so any possible match would need to be compatible. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Matt and I, the application if for ourselves only. | ||||||
Why do you want a Pembroke? |
My partner has wanted a corgi all of his life, because they are smart, loyal, and affectionate dogs. While I have never had a specific breed in mind, I have wanted a dog that can become part of our family, for us to love and cherish. Although cats are different creatures than dogs, our cats are our children and get treated as such. They bring us so much joy, love, and laughter that we are ready to expand our family and are hoping to welcome a corgi into our life. We have done research on the breed and understand that they are wonderful companions, but also require training, time, and attention. We are committed to investing the time into integrating a potential corgi into our life and will to adapt to make that work. | ||||||
Activities planned with Pembroke: |
We are a very active family and like to take walks and be outside. We are hoping for a corgi who likes to be around people and be social, because that's the kind of people we are. | ||||||
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? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
We would be patient with the dog, like we would with any other human as we know it takes time for them to adjust to a new schedule, people, and environment. We would use positive reinforcement training to correct the behavior. | ||||||
Discipline: |
Positive reinforcement–see above. | ||||||
Where would Pembroke spend the majority of the time: |
The corgi would be in our home, aside from time outside and walks. | ||||||
Discipline: |
Positive reinforcement–see above. Where would Pembroke spend the majority of the time: The corgi would be in our home, aside from time outside and walks. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, my Matt works third shift so he is home during the day. | ||||||
Where would dog eat? |
The corgi would eat in the kitchen with us, but separate from the cats. | ||||||
Where would dog sleep: |
I anticipate the corgi would eventually sleep in our bed, but if a kennel or pen is necessary for housetraining, that would be fine also., | ||||||
Play & exercise: |
We are active people so frequent walks and the dog park is near our home so we would frequent that also. Additionally, we have several friends who are dog owners and would coordinate opportunities for them to get together. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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: |
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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: |
We a medium sized yard with a large grassy area off to the size and several tree in the back-no swimming pools or anything like that, just a few plants scattered about. | ||||||
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? |
Natalie and Matt | ||||||
Willing to train children? |
Most definitely–a dog would be like a child to us so we would make certain that any potential children would be taught how to treat animals appropriately and we would model that behavior. | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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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, harmony among our animals is of upmost importance, if they're not happy, no on in our house is. | ||||||
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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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