| Date & Referral Source | |||||||
| State: | Date of Application: | 08/19/2017 | 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 | Gender preferred: |
Male | Color preferred: |
Red & White, Sable & White | Activity level: |
Playful |
Other preferences: |
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| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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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? |
Myself | ||||||
Why do you want a Pembroke? |
I would love to adopt a corgi, a few friends of mine have had some and they make such great companions. I about died and went to heaven when I attended the largest corgi get together. Each corgi is different but they all share some of the amazing qualities, smart, loyal. I have done alot of research before deciding that this was the breed for me and what I could provide and more. | ||||||
Activities planned with Pembroke: |
I would love to attend more corgi meetups. I want to socialize with other dog lovers and dogs alike. | ||||||
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: |
Assess the situation. Was this an infraction on my part? Should I have done something differently? | ||||||
Discipline: |
With positive training and gentle discipline. | ||||||
Where would Pembroke spend the majority of the time: |
At my house. We have a fully fenced in backyard. We live on a dead end so it's quiet, no traffic. | ||||||
Discipline: |
With positive training and gentle discipline. Where would Pembroke spend the majority of the time: At my house. We have a fully fenced in backyard. We live on a dead end so it's quiet, no traffic. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes there always is. | ||||||
Where would dog eat? |
We have set aside a spot in the kitchen. | ||||||
Where would dog sleep: |
I will provide a fluffy dog bed. Sleeping in my bed is okay too 🙂 | ||||||
Play & exercise: |
Fenced backyard leaves many opportunities for days of frisbee throwing and room and room to run. | ||||||
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? |
Our fence a little bit over 4 feet I'd guess. There's two entrances of a gate. We also have a slider door leading out to the patio. Shade is also provided. We love having dinners outside! | ||||||
Living arrangements: |
Own home | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
Our yard is big. Being a corner lot we got lucky with more space. Any loose spots we found, we have repaired at the start of the summer when we began trying to determine the best fit for our spot. | ||||||
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? |
Alexa | ||||||
Willing to train children? |
If I do have a child, there will understand the care needed to be gentle. | ||||||
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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? |
100%. I believe in a slow introductions. | ||||||
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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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