Date & Referral Source | |||||||
State: | Date of Application: | 10/08/2017 | 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: |
1 year – 3 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
We have a wonderful 12 acres for our new addition to enjoy. Woods, ponds, trails for walking, a small home with a toasty fireplace, and a playful 6 month old kitten. | ||||||
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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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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Where is dog now? |
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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 | |||||||
Who is this dog for? |
Both of us | ||||||
Why do you want a Pembroke? |
The Corgi is a an energetic working breed, who loves attention and purpose. Our Jack Russell, Skip, was a wonderful best friend with lots of energy. He recently passed away, at the well-loved age of 15. We are seeking a new best friend who will walk with us and also enjoy popcorn and movie nights. Corgis are a natural anti-depressant,, with their smile and cuteness. We are well aware of shedding, our Skip kept us covered in white hair, but our vacuum cleaner is up to the challenge! We also have doggy daycare in place, as our son and daughter in law adore Corgis as well. We are well equipped with crate, bed, outdoor kennel and trolley run. | ||||||
Activities planned with Pembroke: |
Lots of walking, playing outside, traveling by car to the lakeshore. We love the Ludington area. | ||||||
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: |
Stern voice, redirection. We would never be violent. | ||||||
Discipline: |
Stern voice, redirection, rolled newspaper. | ||||||
Where would Pembroke spend the majority of the time: |
On our laps! In our home, playing with us and our kitten, Molly. Whenever possible, we will play outdoors. | ||||||
Discipline: |
Stern voice, redirection, rolled newspaper. Where would Pembroke spend the majority of the time: On our laps! In our home, playing with us and our kitten, Molly. Whenever possible, we will play outdoors. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Four days a week we are away from the home during the day, for 8 hours. | ||||||
Where would dog eat? |
In our kitchen | ||||||
Where would dog sleep: |
Own bed, possibly in crate | ||||||
Play & exercise: |
Daily outdoor play, during all 4 seasons. Indoor play if weather is too bad. | ||||||
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? |
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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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
12 acres of woods, small ponds, trails. We have a dog run near our deck and a covered kennel. | ||||||
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? |
Mary | ||||||
Willing to train children? |
Have only adult children living away from home | ||||||
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? |
Absolutely willing to help our Corgi adjust. | ||||||
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: |