| Date & Referral Source | |||||||
| State: | Date of Application: | 04/06/2018 | 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 | 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? |
Yes | ||||||
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? |
The Pembroke is for me, a corgi is my absolute dream dog and I finally will be renting an apartment that allows for a dog. I will also be registering the Pembroke as an emotional support animal to allow it to be able to get the constant attention it deserves. |
||||||
Why do you want a Pembroke? |
Quite frankly its the only breed I have honestly ever wanted. The previous dog I owned was a family dog that they no longer wanted. They are the absolute cutest breed to ever grace Earth. I've helped as much as I can with a friend's Corgi, dog sitting it well he was away for vacation multiple times. |
||||||
Activities planned with Pembroke: |
Everything. As I said before, I would be registering it as an emotional support animal to allow it to be able to accompany me where ever I go. | ||||||
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? |
Yes | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
Through treats and praise. Instead of using negative reinforcement, I would instead positively reinforce the behavior opposite that of the mistake that was made since it tends to have a better impact. | ||||||
Discipline: |
Positive Reinforcement. | ||||||
Where would Pembroke spend the majority of the time: |
The Pembroke would spend most of his/her time with me in my apartment, outside, or at my studio. | ||||||
Discipline: |
Positive Reinforcement. Where would Pembroke spend the majority of the time: The Pembroke would spend most of his/her time with me in my apartment, outside, or at my studio. |
||||||
|
House dog or outside dog? |
Outside dog | ||||||
People at home during the day? |
Yes there would be. | ||||||
Where would dog eat? |
I would have my corgi eat at home for both meals to associate it as the place meals happen, | ||||||
Where would dog sleep: |
He/she would sleep in my bed with me, or if they do not like to cuddle they would get their own bed. | ||||||
Play & exercise: |
I will be able to take the corgi on constant walks to and from my studio and apartment, each walk can take 20 minutes, if not longer and will happen almost every hour. | ||||||
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? |
My apartment has a specific dog park area attached to it that allows dogs to roam in a fenced off area. | ||||||
Living arrangements: |
Rent Apartment | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
N/a | ||||||
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? |
James Wright | ||||||
Willing to train children? |
I do not have a child. | ||||||
|
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? |
I will take any steps necessary to ensure that there is no problem. | ||||||
|
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: |
|||||||