| Date & Referral Source | |||||||
| State: | Date of Application: | 08/10/2017 | Referred by: | Other | |||
| 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Sable & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
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| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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Where is this dog now? |
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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
I, Jennifer Nghe, would like to adopt a corgi for myself. | ||||||
Why do you want a Pembroke? |
When I was a kid, I begged my parents for a dog from the pet store. There was a Pembroke Welsh Corgi puppy there, and the price tag was high. My parents kept telling me to be patient and wait, but I remember crying and telling them that the puppy wouldn't be there for much longer. Some way, somehow, I got to leave the store with my very own puppy that I named Kara.
Kara was the most loyal pet I could have asked for. She was energetic and loved to be around people. It was hard leaving for college, knowing that I would only get to see her a few times a year. When I moved home, she was near the age of 15. I knew that the time for her passing was going to come sooner or later, but I still had hopes that she would live forever. I left for a weekend trip and came back to her waiting for me at the door. She was very quiet, and passed away over night. I'll never forget what my friend told me: "She waited for you to come home so she could say goodbye." Now that I'm on my own, I am looking for another companion. After growing up with Kara, I can't imagine having another breed. |
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Activities planned with Pembroke: |
I would love to take them for daily walks (I live next to a dog park) and close to a beach). I would also love to overall spend time with them – whether it be indoors and on the couch, or outside exploring the neighborhood. | ||||||
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? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
It certainly depends on the mistake, but I would generally provide proper discipline, such as using verbal commands or using hand signals. I believe it's important to start discipline as early as possible, that way the dog can get into the habit of understanding between right and wrong. | ||||||
Discipline: |
I would want to reward them for great behavior – such as treats or affectionate gestures. If they were to behave poorly, I would utilize verbal commands, hand signals, or time-outs. Repetition and consistency are important when it comes to disciplining a dog, in order to encourage good behavior. | ||||||
Where would Pembroke spend the majority of the time: |
The Pembroke would probably spend a good amount of time inside. However I would still make the effort to take them outside for a walk. | ||||||
Discipline: |
I would want to reward them for great behavior – such as treats or affectionate gestures. If they were to behave poorly, I would utilize verbal commands, hand signals, or time-outs. Repetition and consistency are important when it comes to disciplining a dog, in order to encourage good behavior. Where would Pembroke spend the majority of the time: The Pembroke would probably spend a good amount of time inside. However I would still make the effort to take them outside for a walk. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I live with my partner who is home all day until 4 PM. I typically get home from work a little after 5 PM. | ||||||
Where would dog eat? |
I have an area in my kitchen that has enough space for dog bowls. | ||||||
Where would dog sleep: |
I have space in my living room for a dog bed, and I would also want to place one in my bedroom. | ||||||
Play & exercise: |
I would want to take them out at least twice a day for fresh air. Over the weekend, there would be more free time. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
My apartment building has a wooden fence that is approximately 6 feet tall. | ||||||
Living arrangements: |
Rent an apartment | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Yes, the condo covenants do prevent me from owning a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
I do not live in a house, but my apartment building has a small yard. | ||||||
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? |
Jennifer Nghe (me) | ||||||
Willing to train children? |
I do not have a child. | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
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Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Yes, of course. I currently do not own any pets, however if I were to adopt a Pembroke and later on consider adopting another pet, I would take into huge consideration whether or not this additional pet would be able to get along with my Pembroke. | ||||||
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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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