Date & Referral Source | |||||||
State: | Date of Application: | 10/08/2017 | Referred by: | Other | |||
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: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Sable & White | Activity level: |
Couch Potato, Outgoing, 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? |
For me, my 2 daughters Annie (12), Sophie(9) and my sister Daniela (22) | ||||||
Why do you want a Pembroke? |
My sister is obsessed with this breed, she lives with us and she wants to have a dog that she can feel as her own. She wants to be able to cuddle with her corgi while watching a movie, go take a walk with her furry baby and carry it if it gets tired. She thinks the short legs are an asset on these dogs and their fluffy rear end are the cutest thing ever. She wants to go take car rides with her corgi. The 2 dogs we have are mine and my daughters, they have been with us since before my sister moved in with us, 1 year ago. We all care for them and will care for the new member of the family too. We are animal lovers, they become part of your every day life, and most important, part of your family. |
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Activities planned with Pembroke: |
Walking, fetching, tricks, play with other dogs, we have a big fenced yard where they can play and run. | ||||||
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: |
If the mistake was done in my presence, I would change my tone of voice to a firm voice pointing the mistake to the dog, letting him know it was not right. | ||||||
Discipline: |
Same as my current dogs, if they do something good they get a treat, if they do something bad, they get a firm voice. | ||||||
Where would Pembroke spend the majority of the time: |
When we are not home, inside the house. When at home we like to be with them playing in the back yard. | ||||||
Discipline: |
Same as my current dogs, if they do something good they get a treat, if they do something bad, they get a firm voice. Where would Pembroke spend the majority of the time: When we are not home, inside the house. When at home we like to be with them playing in the back yard. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Weekdays From 8:30AM to 3:00PM we are not home, after that, there is always someone home Weekends we are always home |
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Where would dog eat? |
Inside the house | ||||||
Where would dog sleep: |
With my sister, in her bedroom | ||||||
Play & exercise: |
As mentioned before, this lovely new member of the family will have walks every day early in the morning before leaving to work, playdates on our backyard and games of fetch non stop in the evenings | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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? |
6 foot wood fence with chicken wire at the bottom attached to the ground to avoid digging to get out | ||||||
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: |
6 feet fenced yard, grass all over, no swimming pools or possible danger. | ||||||
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? |
Elisa Marquez and Daniela Perez | ||||||
Willing to train children? |
Yes, they have been living with animals in the house for at least 8 years | ||||||
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: |