Date & Referral Source | |||||||
State: | Date of Application: | 11/24/2017 | 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? |
Would be for the 2 applicants listed above. | ||||||
Why do you want a Pembroke? |
We like the look of the dog and it's playful nature and overall appearance. We've both had friends with the breed before that recommend them. | ||||||
Activities planned with Pembroke: |
We walk daily and often go on boats. We'd like to take our pet to dog parks and to play with our friends pets 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: |
Depends on the situation but calmly. Would always to to focus on giving the dog opportunities to exhibit correct behavior and focus on rewarding that. | ||||||
Discipline: |
Redirect negative behavior and focus on rewarding desired behaviors. Be consistent. | ||||||
Where would Pembroke spend the majority of the time: |
In our apartment home. Additionally we'd plan to have a vetted day care in the event we are out of town and/or for doggy day care. | ||||||
Discipline: |
Redirect negative behavior and focus on rewarding desired behaviors. Be consistent. Where would Pembroke spend the majority of the time: In our apartment home. Additionally we'd plan to have a vetted day care in the event we are out of town and/or for doggy day care. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
There is a gap from 8am-4:30pm. | ||||||
Where would dog eat? |
At home primarily. | ||||||
Where would dog sleep: |
Preferably on a doggy bed. If needed a crate. | ||||||
Play & exercise: |
We are extremely active and would walk in the morning and/or evening. In addition, day care/dog walking service/dog park would provide additional 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: |
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? |
No | ||||||
Description of yard: |
NA | ||||||
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? |
Justin/Malynn | ||||||
Willing to train children? |
NA | ||||||
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? |
NA | ||||||
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: |