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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
We are looking into adoption for when we move out of our current apartment this coming year (lease is up July 2st but we are trying to move out before hand). We have a corgi/ mountain curr mix that would love a sibling | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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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? |
My boyfriend and I | ||||||
Why do you want a Pembroke? |
We have beenlooking for a corgi since Christmas of 2016. Unfortunately I was scammed while trying to buy a corgi puppy and have been trying to get a purebred since. We love the way they look, how energetic and loving they are, and are very pleased sith our corgi mix so we would like to get her a sister. | ||||||
Activities planned with Pembroke: |
We would take her on walks, play with her in the house with toys, throw balls for her to chase, and give lots of cuddles. | ||||||
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? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
We are currantly crate training and have had the beat luck with that. You cannot scold too barshly, dogs are like children and dont know better all the time. | ||||||
Discipline: |
Crate training. | ||||||
Where would Pembroke spend the majority of the time: |
Running around our apartment/house. | ||||||
Discipline: |
Crate training. Where would Pembroke spend the majority of the time: Running around our apartment/house. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
The food would be in her crate but the door would stay open | ||||||
Where would dog sleep: |
In the livingroom on a bed | ||||||
Play & exercise: |
Walks and ball throwing outside/ inside. Plus playing inside with toys and our other dog | ||||||
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: |
Rent/lease home | ||||||
Landlord info: |
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May we contact your landlord? |
No, you may not contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
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: |
I do not live in a house but we are looking for a house to rent | ||||||
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? |
Both my boyfriend and I | ||||||
Willing to train children? |
I do not have any children but yes we would be willing to teach if we do have a child | ||||||
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? |
Yes | ||||||
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: |