Date & Referral Source | |||||||
State: | Date of Application: | 11/10/2017 | 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: |
Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color | Activity level: |
Playful |
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? |
I already own another Pembroke Welsh Corgi, and would like to own another one. | ||||||
Why do you want a Pembroke? |
I've always loved the corgi breed, there energy makes me more active, and I love teaching them tricks. I love seeing them excited when their happy, and seeing that little puppy butt wiggle with happiness! I've raised a Pembroke Welsh Corgi since 8 weeks, and I've never had a to hard of a challenge with anything. The hardest thing was having him adjust from living in a house with two dogs,. I have done the research on the breed, as I have a almost 8 month old corgi currently. |
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Activities planned with Pembroke: |
Go on walks, play with toys, teach them tricks, belly rubs! | ||||||
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. Telling them no to let them know it was wrong, and try again. | ||||||
Discipline: |
Using a stern voice, but not yelling and telling them no. Making sure they understand what they did wasn't ok | ||||||
Where would Pembroke spend the majority of the time: |
The most time the corgi would spend would be with me in the apartment, outside, or at our nearest dog park. | ||||||
Discipline: |
Using a stern voice, but not yelling and telling them no. Making sure they understand what they did wasn't ok Where would Pembroke spend the majority of the time: The most time the corgi would spend would be with me in the apartment, outside, or at our nearest dog park. |
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House dog or outside dog? |
Outside dog | ||||||
People at home during the day? |
Yes, depending on the day the week. Me or my husband would be home with the corgi | ||||||
Where would dog eat? |
Taste of the wild dog food | ||||||
Where would dog sleep: |
Either with us and our other dog on our bed, or if they cannot be trusted right away- in a large kennel. | ||||||
Play & exercise: |
Where I am currently resided at, we have an off leash dog park with plenty of room to play. They will get to play as much as possible. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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 Apartment 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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
N/A | ||||||
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? |
McKinzie Miller | ||||||
Willing to train children? |
Yes, I am willing to teach a child (when I have one). | ||||||
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 I am willing to try and resolve problems. | ||||||
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: |