| Date & Referral Source | |||||||
| State: | Date of Application: | 04/15/2018 | 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: |
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? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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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 description: |
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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 | |||||||
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Who is this dog for? |
This Pembroke is for me! I am a newly graduated nurse living in Ann Arbor, MI. I have grown up with dogs my whole life, and I am so excited to begin my life with a dog. I am very prepared to give my future dog the attention, time, and activity that it needs. While I am working, I have dog care arranged. Corgis are a perfect fit for me because of their temperament, energy level, and love. | ||||||
Why do you want a Pembroke? |
This breed is so wonderful! I have met two PW Corgi mixes in my extended family and both are wonderful. They are playful, happy, charming, smart, loving and have a great amount of energy while still being willing to just sleep. I have done research on the breed and know that this would be the perfect fit. I am so willing to give affection to a PW Corgi. | ||||||
Activities planned with Pembroke: |
I love long walks and very slow jogs, so I would love to take my Pembroke with me. If possible, and up to the dog's temperament, agility is something that I would love to try. But ultimately, this depends on the dog and what they want to do. | ||||||
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? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
I would take an dog obedience training class to determine the best way to handle it depending on my PW corgi's temperament. | ||||||
Discipline: |
I would never physically punish a dog. However, stern verbal commands, including the use of the word "no" are a big portion of discipline. | ||||||
Where would Pembroke spend the majority of the time: |
Between my house in Ann Arbor, outside, and traveling to my parent's house. | ||||||
Discipline: |
I would never physically punish a dog. However, stern verbal commands, including the use of the word "no" are a big portion of discipline. Where would Pembroke spend the majority of the time: Between my house in Ann Arbor, outside, and traveling to my parent's house. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, my roommate will be home. | ||||||
Where would dog eat? |
At a designated food mat near my kitchen. | ||||||
Where would dog sleep: |
My corgi would sleep in my room, either in his/her own dog bed or on the bed with me depending on their preference. | ||||||
Play & exercise: |
I will take my corgi to a dog park nearby, as well as agility classes if the dog is inclined. He/she will be able to play/exercise 2-3 times/day outside of the house and inside the house/in the yard throughout teh day. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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: |
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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
Fenced in yard, no fixtures. | ||||||
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? |
Karina Zanyk McLean | ||||||
Willing to train children? |
I do not have a child, but would be willing to in the future if I do. | ||||||
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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? |
Yes | ||||||
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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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