Date & Referral Source | |||||||
State: | Date of Application: | 10/18/2017 | 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, Very Active |
Other preferences: |
We have a cattle herding breed dog already, so we understand the energy levels of these kinds of dogs. | ||||||
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? |
It is for our family. We currently have a one year old Red Heeler as well, and are looking to extend our family. We have been looking for a Corgi for about 6 months now and would love to adopt one. | ||||||
Why do you want a Pembroke? |
We love the look of the dog and what we've read about their personalities. We love a happy, playful, energetic dog, since we have one already, and are looking possibly for a dog capable of the same energy level (or not) as a companion. We have researched the breed. | ||||||
Activities planned with Pembroke: |
Walking, Running, outdoor games, hiking, traveling. | ||||||
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: |
We usually figure out what the problem is and work from the root of it. Our current dog, since he is a herder, likes to nip, so we always have a bone or chew ready for him to correct him. | ||||||
Discipline: |
If our dog makes a mistake, we go back to square one and start training him again as if he is brand new to the lesson, and make sure never to scare them with discipline, they always know they are loved. | ||||||
Where would Pembroke spend the majority of the time: |
In the house with us, we hang out outside as well and go on walks. | ||||||
Discipline: |
If our dog makes a mistake, we go back to square one and start training him again as if he is brand new to the lesson, and make sure never to scare them with discipline, they always know they are loved. Where would Pembroke spend the majority of the time: In the house with us, we hang out outside as well and go on walks. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
In the room with us, or we give them the option of wherever in the house. | ||||||
Play & exercise: |
We play with them in the house with trick teaching or balls if the weather is bad, and then we move outside if the weather is nice. We like to go on two walks a day with our dog. Sometimes we also take him to daycare to socialize and get his wiggles out. | ||||||
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? |
It is a metal/ Steel fence, and the back of the yard is a tall wooden fence. It is about 4-5 feet tall. | ||||||
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: |
We do not have a pool. We have a little garden area in the backyard, and the garage is also in the backyard. We have quite a large lot for roaming and running around. | ||||||
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? |
Henrietta Bancsov/ Cody Vettraino | ||||||
Willing to train children? |
Yes, if we have a child. | ||||||
Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
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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: |