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: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
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Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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 | ||||||
Why do you want a Pembroke? |
Through my research, it seems as though a corgi would be a great breed for my current situation. A small to medium sized dog is appropriate for my living situation and a playful dog will also be appropriate for someone of my age. | ||||||
Activities planned with Pembroke: |
With living so close to the Canal in Indianapolis, long walks would be very possible several days of the week. It is also hopeful that I can be approved for a house with a backyard so a lot of play time would happen there as well. | ||||||
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: |
The best way that I know to handle a dog’s mistake is to show them their mistake very recently after they have done it and tell them “No” in a firm voice. I don’t think that it is ever okay to hit an animal. It is also important to reward the dog if they do something correctly with a treat or even just vocal encouragement and some affection. | ||||||
Discipline: |
As stated above, I believe that a firm “No” usually works when trying to dicipline a dog. However, if I was to see that this wasn’t working, obedience classes would be the next step. | ||||||
Where would Pembroke spend the majority of the time: |
The dog would spend some of its time alone at home (either a shared house or a single apartment), however, my class schedule is very flexible so it would also spend a lot of time with me at home as well. | ||||||
Discipline: |
As stated above, I believe that a firm “No” usually works when trying to dicipline a dog. However, if I was to see that this wasn’t working, obedience classes would be the next step. Where would Pembroke spend the majority of the time: The dog would spend some of its time alone at home (either a shared house or a single apartment), however, my class schedule is very flexible so it would also spend a lot of time with me at home as well. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Depending on if I decide to live alone or with others, the dog would have someone home with it for the majority of the day. | ||||||
Where would dog eat? |
After deciding on my living situation, I would decide on an appropriate place for the dog’s food and crate to go. | ||||||
Where would dog sleep: |
Depending on what the dog’s personality, it could either sleep in its crate, in a dog bed on the floor, or even in bed with me. | ||||||
Play & exercise: |
With living in such a large area, there are many parks and trails near me for the dog to play in and for them to get exercise. | ||||||
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: |
Renting a home/apartment | ||||||
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? |
Yes | ||||||
Description of yard: |
If I do decide to rent a home next year, it will not have a swimming pool. | ||||||
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 Brown | ||||||
Willing to train children? |
Assuming I get a younger Corgi, it is expected that I would still have them by the time I decide to start a family. I would definitely teach my children from a young age how to properly treat an animal | ||||||
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, the owner of the cat recently introduced her cat to her dog at home and everything went well so a similar joint effort would happen with the corgi if needed. | ||||||
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: |