Date & Referral Source | |||||||
State: | Date of Application: | 10/28/2017 | 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: |
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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? |
The whole family mainly for my daughter though because we had taken care of a military friends for awhile for him and she was attached to him with everything and I loved the spark it put in her eyes and how she gained a responsibility of helping taking care of him witch in return helped because her baby brother was born when Cornelius left our house and went back with his family so we are now looking for one of our own | ||||||
Why do you want a Pembroke? |
I cannot afford a full price corgi from breeders I have seen and my family had fallen in love with Cornelius the 4 year old corgi that we had taken care of for 6 month while a military friend was not able to and it taught my daughter so much responsibility at such a young age I want to get one of our own. And there's too much to be specific about on why to love the breed I've only seen about 6 corgis personally but the energy and charisma the dogs carry are great and seeing the dog I took care of help with PTSD that my friend had. | ||||||
Activities planned with Pembroke: |
Of course our daily walks but also weekly trips to park because we already take the daughter. And walks around the local lakes and forest area's finding out what's the best toy's for playing fetch or if the dog likes the classic sticks. Plus tons of car rides | ||||||
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: |
Depends on mistake but crate training handles alot of mistakes | ||||||
Discipline: |
Trial and error like stated above alot of mine is crate training or making them sit in corner like my daughter lol I don't believe in hitting | ||||||
Where would Pembroke spend the majority of the time: |
On the side of one of us in the family. My fiancee is a stay at home mom that is wanting a corgi as much as I do then my daughter always has enough energy after school for a daily run and play so either on couch or up playing | ||||||
Discipline: |
Trial and error like stated above alot of mine is crate training or making them sit in corner like my daughter lol I don't believe in hitting Where would Pembroke spend the majority of the time: On the side of one of us in the family. My fiancee is a stay at home mom that is wanting a corgi as much as I do then my daughter always has enough energy after school for a daily run and play so either on couch or up playing |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes stay at home mom | ||||||
Where would dog eat? |
Laundry room | ||||||
Where would dog sleep: |
Probably foot of bed until we buy a dog bed | ||||||
Play & exercise: |
Plenty of opportunities to play. There's always trips to lakes local forest area's and town park | ||||||
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: |
Cfd | ||||||
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: |
Small yard but also a small town that's why we go to park so much | ||||||
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? |
Scott Hood | ||||||
Willing to train children? |
Yes she has learned when we took care of a friends corgi and it helped her on how to be gentle and careful with her little brother now | ||||||
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? |
I'm will to resolve anything | ||||||
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: |