Date & Referral Source | |||||||
State: | Date of Application: | 11/01/2017 | 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: |
Other (Please describe in the box below.) |
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? |
Myself and my family. I've always love corgis they are amazing companions to have.. we have no pets so far just myself my husband and our 8 month old son. I would love to add a fur baby to our family and I think a corgi would be perfect. I always grew up with them as a child. | ||||||
Why do you want a Pembroke? |
We always had penbroke corgis growing up they always brought so much joy into our lives. Last year I lost my corgi named Felix he was fifteen and one of the best friends I've ever had and although I miss him dearly I think a new companion would really help. | ||||||
Activities planned with Pembroke: |
Plenty of walks I take my son out in his stroller for about a half hour to an hour a day and obviously if we had our new companion they would join us for our walks. We have a fenced in back yard with room to run around, we also live about two miles away from a nice dog park that I could take him to a couple times a week. | ||||||
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: |
Mistakes happen. I would just continue to train my dog and hopefully they will learn over time. | ||||||
Discipline: |
I really never had to discipline a dog if you train a dog right you won't have to. Mistakes happen for example if my dog went to the bathroom in the house I would show them that's not OK by taking them outside and showing them that's where they go to the bathroom | ||||||
Where would Pembroke spend the majority of the time: |
With me. I work from home so my dog would rarely be by themselves | ||||||
Discipline: |
I really never had to discipline a dog if you train a dog right you won't have to. Mistakes happen for example if my dog went to the bathroom in the house I would show them that's not OK by taking them outside and showing them that's where they go to the bathroom Where would Pembroke spend the majority of the time: With me. I work from home so my dog would rarely be by themselves |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
I only buy name brand dog food that is best for the dog. I've had the best luck with blue wilderness food | ||||||
Where would dog sleep: |
In my bed . I will also buy a dog bed in case we go on vacation | ||||||
Play & exercise: |
I will provide plenty of time to play and exercise. I take my son for a walk daily and I have a fenced in yard. There is also a dog park close by that I could take the dog to a couple times a week | ||||||
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? |
About 5 feet high chain link fence that goes around the whole yard | ||||||
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 have a decent size backyard with grass and a garage that's fenced in. Plenty of room to play | ||||||
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? |
Lindsay Katherine Mendez | ||||||
Willing to train children? |
Of course. My father has three dogs and my son already loves them they are his best buddies | ||||||
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? |
I have no pets at the moment. | ||||||
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: |