Date & Referral Source | |||||||
State: | Date of Application: | 09/25/2017 | 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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
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 | |||||||
Who is this dog for? |
This Pembroke would be for the applicants. | ||||||
Why do you want a Pembroke? |
We admire corgi's, they are beautiful but also have distinct personalities. While being very loving, they still tend to inherit some of their leadership as herding dogs. Their protectiveness and strong bond towards their owners, allows them to be very affectionate and devoted, what we find is an admirable trait. We have quite a few friends who have corgi's and we absolutely love interacting with them. We have done pretty extensive research of the breed for several months, and decided a corgi would be a good fit for our family. | ||||||
Activities planned with Pembroke: |
We are in the process of moving to a new home, which is across the street from a several acre dog friendly park where we plan on spending a lot of time with our new furry friend, running around, playing, or just relaxing outdoors. We are looking for a companion to be by our side running errands around town, and on our trips and adventures. There are also several dog parks in our community with obstacle courses for dogs. And we're most excited about spending our summers at the dog beaches of Lake Michigan! | ||||||
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? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
Our friends have said that the best way to correct a corgi's behavior is by simply speaking to it in a firm voice, and they tend to be very receptive to this. Afterwards, providing encouragement to make sure the Pembroke doesn't remain upset. | ||||||
Discipline: |
Use redirection in order to detract your dog from repeating poor behaviors. A firm voice, and examples of positive direction should do the trick. | ||||||
Where would Pembroke spend the majority of the time: |
With us. | ||||||
Discipline: |
Use redirection in order to detract your dog from repeating poor behaviors. A firm voice, and examples of positive direction should do the trick. Where would Pembroke spend the majority of the time: With us. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. | ||||||
Where would dog eat? |
Wherever in the home they felt most comfortable. | ||||||
Where would dog sleep: |
Wherever in the home they felt most comfortable. | ||||||
Play & exercise: |
They will have ample opportunity to play and exercise. We have ample space to play in the home on a rainy day. We also do not have to go far for wonderful outdoor spaces in our community. Play will absolutely be daily. | ||||||
How will you exercise your dog? |
On leash | ||||||
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: |
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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Condo. Live across the street from very large open greenspace (essentially the biggest backyard imaginable). | ||||||
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. | ||||||
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? |
Nathan Salamanca | ||||||
Willing to train children? |
N/A | ||||||
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? |
N/A | ||||||
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: |