| Date & Referral Source | |||||||
| State: | Date of Application: | 08/11/2017 | Referred by: | Friend | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White | Activity level: |
Outgoing, Quiet, Playful |
Other preferences: |
I currently love in an apartment building, preferably, I would like a dog that doesn't bark too much. My apartment is close to the beach and parks so I can offer the dog a fair amount of activity. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
I'm seeking a Pembroke for myself. I am a young professional who grew up with corgis and now I'm looking to take in one of my own. | ||||||
Why do you want a Pembroke? |
I grew up with Corgis and have been in love with them ever since. I think they are the perfect size, friendly, active and usually, easy going. Not only have I grown up with Corgis but so have members of my extended family, so I have been around Corgis of all demeanors. | ||||||
Activities planned with Pembroke: |
Activities would consist of lots of walks, dog parks, dog beaches and play dates with my family corgi and my brother's terrier. | ||||||
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? |
Yes | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
Get the dogs attention, use an appropriately commanding voice and say "no". | ||||||
Discipline: |
I'm a strong believer in shaping a dogs behavior with rewards and accolades. Shaping the behavior by acknowledging when things are done correctly. | ||||||
Where would Pembroke spend the majority of the time: |
The Pembroke would spend most of his/her time in my apartment. On days that I have to work late, a dog walker will come in. If I'm out of town, the dog would stay with my brother or parents, all of which have dogs. | ||||||
Discipline: |
I'm a strong believer in shaping a dogs behavior with rewards and accolades. Shaping the behavior by acknowledging when things are done correctly. Where would Pembroke spend the majority of the time: The Pembroke would spend most of his/her time in my apartment. On days that I have to work late, a dog walker will come in. If I'm out of town, the dog would stay with my brother or parents, all of which have dogs. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, with the exception of a dog walker as needed. | ||||||
Where would dog eat? |
In the kitchen, with his/her own designated area. | ||||||
Where would dog sleep: |
In his own bed in my bedroom. | ||||||
Play & exercise: |
I live close to many parks and the beach. I all live a few blocks from my brother who has a fenced in yard. I am planning on multiple walks during the days, plus visits to the dog-friendly amenities in my area. | ||||||
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? |
|||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
Yes | ||||||
|
Description of yard: |
I do not live in a house. | ||||||
Household members: |
|||||||
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? |
MarietteChampagne | ||||||
Willing to train children? |
Yes. All the children in my life (mainly nieces and nephews) have long histories with dogs. | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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? |
Yes, but I don't have any other animals at this time. | ||||||
|
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: |
|||||||