| Date & Referral Source | |||||||
| State: | Date of Application: | 01/25/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| 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, 3 years – 5 years | Gender preferred: |
Female, Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
I would prefer a dog who is not a full force barker- but I love when a dog 'talks' or whines. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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| Dog 3 | |||||||
Dog 3 name: |
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| Dog 4 | |||||||
Dog 4 name: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Me! | ||||||
Why do you want a Pembroke? |
I have friends who own corgis and I absolutely love the amount of intelligence and personality they have. Each one is very unique and certainly an individual. They tend to herd which I have experienced with my previous dog. I love the size of them, and I think the breed is a good fit for me activity wise. | ||||||
Activities planned with Pembroke: |
I live right behind an extensive walking/running/biking path called the Monon Trail. I also am less than a mile from a dog friendly park, dog daycare, groomer, veterinarian and dog bakery. We would make A LOT of friends! | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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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 would try to figure out why the dog made the decision it did, and what factors in the environment could be the cause. I would consider if the dog is getting enough one-on-one time, or exercise and see if that could be a reason for the behavior. | ||||||
Discipline: |
I believe in firmly saying "no" with hand gestures, and then placing the dog in it's kennel for a short time out for them to understand that what they did was not acceptable. | ||||||
Where would Pembroke spend the majority of the time: |
By my side! I work from home at least one day a week, and my office is only 20 minutes from the house. I would come home during lunch to let them out, and spend all weekends and evenings with the dog. | ||||||
Discipline: |
I believe in firmly saying "no" with hand gestures, and then placing the dog in it's kennel for a short time out for them to understand that what they did was not acceptable. Where would Pembroke spend the majority of the time: By my side! I work from home at least one day a week, and my office is only 20 minutes from the house. I would come home during lunch to let them out, and spend all weekends and evenings with the dog. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
My roommate Andrew also lives in my house. | ||||||
Where would dog eat? |
I would place his bowls either in the kitchen, or the dining room. | ||||||
Where would dog sleep: |
I would prefer the corgi to sleep in bed with me, but if they don't like that they are free to stay in their kennel, or take the couch. | ||||||
Play & exercise: |
I have a lot of neighbor dogs, as well as a doggy daycare very close to my home. Along with runs down the monon trail and visits to the park I think my dog has a plethora of options. | ||||||
How will you exercise your dog? |
On leash | ||||||
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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 | ||||||
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Description of yard: |
It is a good sized back yard with one side fenced. The neighbor has a fenced in yard about the same size and keeps 2 small breed dogs without issue. | ||||||
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. | ||||||
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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? |
Allison Maples- myself | ||||||
Willing to train children? |
I do not have children, but if I suddenly do I will certainly teach them how to live with a dog properly and respectfully. | ||||||
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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- if the corgi does not get along with the cat in the few months they will interact we can easily re-home the cat. | ||||||
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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. | ||||||
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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: |
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