| Date & Referral Source | |||||||
| State: | Date of Application: | 05/07/2018 | Referred by: | Other | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
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: |
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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 | |||||||
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Who is this dog for? |
self | ||||||
Why do you want a Pembroke? |
I want to adopt a Pembroke Welsh Corgi because I believe their temperament and activity level suits my lifestyle. I am looking forward to having a dog that I can go on long walks with and exercise with. I also love how affectionate they are. I have done a lot of research and know they are affectionate with family and can adapt well to apartment living. | ||||||
Activities planned with Pembroke: |
jogs and long walks, exploring the park | ||||||
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: |
If I catch the corgi making a mistake, I will firmly say No and give him treats when he does no t make a mistake and hopefully he will learn from this experience. | ||||||
Discipline: |
Will not discipline with yelling but more with praise when he does something correct. Planning on taking to obedience classes if necessary. | ||||||
Where would Pembroke spend the majority of the time: |
In my apartment | ||||||
Discipline: |
Will not discipline with yelling but more with praise when he does something correct. Planning on taking to obedience classes if necessary. Where would Pembroke spend the majority of the time: In my apartment |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No but I am willing to have a dog walker come by when I am away at work | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
In a dog bed (ideally he will like it!), otherwise, may end up sleeping with me on my bed. | ||||||
Play & exercise: |
I plan on taking the corgi for a 30 minute walk in the morning before work, and after I get back from work. When I am at work, I plan on having a dog walker come by or other family members to take him for another walk. On the weekends, I will spend more time at the park playing and socializing with other dogs in the apartment on the dog deck or with my cousins dogs. | ||||||
How will you exercise your dog? |
On leash | ||||||
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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 parents have a wooden fenced in yard with locks on both entrances and an entrance to the house. | ||||||
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? |
Yes | ||||||
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Description of yard: |
I do not live in a house but my parents do, which I will bring my corgi to when I go home. They have a fenced in yard and a deck. | ||||||
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? |
Justine Choe | ||||||
Willing to train children? |
I have no children | ||||||
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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. | ||||||
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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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