Date & Referral Source | |||||||
State: | Date of Application: | 11/13/2017 | Referred by: | Other | |||
Contact Information | |||||||
First name: | Last name: | First name 2: | Last name 2: | ||||
Address | |||||||
Street: | |||||||
City: | State: | Zip: | |||||
Type of Dog Wanted | |||||||
Ages interested in: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Male | Color preferred: |
Red & White | Activity level: |
Outgoing |
Other preferences: |
Has to be under two years of age. | ||||||
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? |
He would be my new addition! | ||||||
Why do you want a Pembroke? |
This breed caught my eye because of the size and color. I did some research on the breed, but have never had the pleasure of owning my own! I know they are fairly active and it would be nice for my other dog to have a companion in life minus myself! | ||||||
Activities planned with Pembroke: |
I take my dog on two walks minimum a day, along with going to the dog park, our lake house and hikes regularly! Fairly active! | ||||||
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: |
I've always been into positive reprimanding, meaning I bring my dog to what he did wrong (chewing up a receipt for example), ask them what they did in a different, not happy, tone, and tell them no. I then tell him to go to his cage and he walks over and he gets put in "time out" for ten minutes. I've never hit or physically inflicted pain on my dog. I don't believe that works or harsh yelling. I want my animal to trust me, but know they messed up as well. | ||||||
Discipline: |
I change my tone and use a cage. My current dog uses his cage as a "safe place" so he immediately goes there when he knows he did something wrong. | ||||||
Where would Pembroke spend the majority of the time: |
i have an apartment where he would have two bedrooms, 1.5 bathrooms, living room, dining room and kitchen for him to roam around! | ||||||
Discipline: |
I change my tone and use a cage. My current dog uses his cage as a "safe place" so he immediately goes there when he knows he did something wrong. Where would Pembroke spend the majority of the time: i have an apartment where he would have two bedrooms, 1.5 bathrooms, living room, dining room and kitchen for him to roam around! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I have a roommate who is home at night and I'm home all day. | ||||||
Where would dog eat? |
My kitchen. | ||||||
Where would dog sleep: |
In his cage at first, until potty trained, then anywhere he falls asleep. | ||||||
Play & exercise: |
I am very active. As I stated earlier, he would get a minimum of two walks per day and I go on hikes with my dog weekly! I also have people come walk my dog if I get stuck at work. I have two loyal people who help out whenever needed. | ||||||
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: |
Rent/lease home | ||||||
Landlord info: |
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May we contact your landlord? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
I don't live in a house, but there are two enclosed pools at my complex. | ||||||
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? |
Alissa Furca | ||||||
Willing to train children? |
I don't have children. | ||||||
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 would work on whatever I needed to for them to get along. | ||||||
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: |