Date & Referral Source | |||||||
State: | Date of Application: | 02/12/2018 | Referred by: | Website, Friend | |||
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) | Gender preferred: |
Female | Color preferred: |
Red & White, Black Headed Tri | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
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? |
Me and my fiance. | ||||||
Why do you want a Pembroke? |
It started because corgis are just so stinkin' cute. However, the corgis that I have met have been some of the sweetest dogs. So, I am looking forward to have a sweet adorable pup to call my own. | ||||||
Activities planned with Pembroke: |
running, walking, playing catch, taking her to dog parks, and any other dog things. | ||||||
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: |
It's a mistake. I would calmly, yet firmly let the dog know whatever they did was not right but saying no. | ||||||
Discipline: |
The calm yet firm kind. | ||||||
Where would Pembroke spend the majority of the time: |
at our new home which is 3400 sq feet. so there will be a lot of space. | ||||||
Discipline: |
The calm yet firm kind. Where would Pembroke spend the majority of the time: at our new home which is 3400 sq feet. so there will be a lot of space. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
no, however, I will come home to let the dog out. | ||||||
Where would dog eat? |
at home. | ||||||
Where would dog sleep: |
at home. | ||||||
Play & exercise: |
my dog will get all the play time she needs. | ||||||
How will you exercise your dog? |
On leash | ||||||
Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
it's a white fence around 4ft tall. | ||||||
Living arrangements: |
Own 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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
we have a paver deck and small swing set. we do not have kids. the yard is a good size for a smaller dog, not for a larger dog. | ||||||
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? |
Me | ||||||
Willing to train children? |
I do not have a child. however, when I do we will. | ||||||
Any allergies? |
One or more family members might be allergic to dogs. | ||||||
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? |
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: |