Date & Referral Source | |||||||
State: | Date of Application: | 10/10/2017 | 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, Other (Please describe in the box below.) |
Other preferences: |
We do have a male cat who is Neutered. | ||||||
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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Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
Both of us! | ||||||
Why do you want a Pembroke? |
We love everything about Welsh Corgi's, its been our go to breed, but we don't like going to puppy mills. We love the thought of adopting an adult who needs love and a home. A relative of mine used to have one and they are just all around wonderful dogs! | ||||||
Activities planned with Pembroke: |
I would take them on walks, nap with them, take them on car rides, and maybe let them be my running buddy or hiking buddy. | ||||||
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: |
I don't like to yell but I wont let them think its right. I would rather make a loud noise like a clap and say something other then no (if they are used to that) and let them know that, what they did isn't a good thing. I do not believe in hitting dogs to discipline them. | ||||||
Discipline: |
When we had dogs we used a lot of loud noises and said like "Foowie!" because to us saying No could be bad, because if you are saying no to another animal or person, the dog may think its in trouble. Another way was that there would be a box of some sort and we would say climb and they would sit there and know they were wrong because when they were on there only when they were being bad. | ||||||
Where would Pembroke spend the majority of the time: |
Most of the time at home, but when we would get home from work they would be enjoying the outside life! I do love a snuggle bug though! | ||||||
Discipline: |
When we had dogs we used a lot of loud noises and said like "Foowie!" because to us saying No could be bad, because if you are saying no to another animal or person, the dog may think its in trouble. Another way was that there would be a box of some sort and we would say climb and they would sit there and know they were wrong because when they were on there only when they were being bad. Where would Pembroke spend the majority of the time: Most of the time at home, but when we would get home from work they would be enjoying the outside life! I do love a snuggle bug though! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, but they will have the company of our wonderful friendly cat Rusty! | ||||||
Where would dog eat? |
They would eat in the kitchen! They would probably eat before us or with us so they don't feel left out. They would most definitely be feed in another room from our cat if needed. | ||||||
Where would dog sleep: |
With us or in the soft warm bed we buy of the Pembroke's pick! | ||||||
Play & exercise: |
I will take the Pembroke out as much as possible! After being at a desk job all day even I want to come home and play! I can honestly say they will get the most possible play and exercise I can muster up! | ||||||
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? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
We currently live in a two bedroom Apartment, but on October 28th we will be moving to a three bedroom apartment. The apartment has a large open courtyard. | ||||||
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? |
Andrea and Mitchell | ||||||
Willing to train children? |
Yes | ||||||
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: |