| Date & Referral Source | |||||||
| State: | Date of Application: | 02/16/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years +, 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: |
|||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Kelsey | ||||||
Why do you want a Pembroke? |
We love both kinds of corgis, but Andy has a special fondness for Pembrokes. Their expressions are priceless. It's a little embarrassing but we have corgi stuff around the house even though we don't own one. We've done research on them and think they fit with our active yet apartment-dwelling lifestyle. We've only hung out with corgis we meet while dog-sitting other people's dogs. | ||||||
Activities planned with Pembroke: |
Whatever activities the dog likes to do. Dog park, walks, playing ball, whatever it likes best to burn calories and itch that herding instinct. | ||||||
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 |
||||||
|
Do you have a veterinarian? |
No | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
Don't give too much attention to it or else the dog may think that behavior is a way to get attention. | ||||||
Discipline: |
If the action has been done very recently, one firm "No" should be said. This should not be repeated. If something was done in the past, the dog won't necessarily be able to connect what someone is saying to the action. | ||||||
Where would Pembroke spend the majority of the time: |
In our apartment with me (I work from home a good deal of the time). | ||||||
Discipline: |
If the action has been done very recently, one firm "No" should be said. This should not be repeated. If something was done in the past, the dog won't necessarily be able to connect what someone is saying to the action. Where would Pembroke spend the majority of the time: In our apartment with me (I work from home a good deal of the time). |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Most days, yes. | ||||||
Where would dog eat? |
in the kitchen. | ||||||
Where would dog sleep: |
We will have either the crate (if the corgi likes it) or a dog bed in our bedroom. | ||||||
Play & exercise: |
Yes, Daily walks and play is a must. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
|
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? |
|||||||
Living arrangements: |
Rent/lease home | ||||||
Landlord info: |
|||||||
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: |
We do not have a swimming pool here. | ||||||
Household members: |
|||||||
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? |
Kelsey | ||||||
Willing to train children? |
Yes. We do not have children yet and it will be a couple of years before that is a possibility, but growing up with a dog is important for me so that I may treat my children compassion for animals and how to properly greet them and treat them! | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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. We are not cat people, so we'll never get a cat, but if we were to get another dog (far in the future) we would of course put our Pembroke first as they would be an established member of the family by that time! | ||||||
|
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: |
|||||||