| Date & Referral Source | |||||||
| State: | Date of Application: | 05/08/2018 | 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) | Gender preferred: |
Female, 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? |
I am been looking for a puppies that under 3 months. I want the puppy to grow w me and can get along with me easier. I really looking forward to adopt one. | ||||||
Why do you want a Pembroke? |
yes I have been searching information about this breed. this puppy is a present of the big dog in the small package they are so cute. The things I like about this puppy is they are short and playful, friendly and the are just have baby face when they look at you. I want to adopt the breed because the puupy is small so my niece and nephew they are 1 and 4 so the puppy can play with them easy | ||||||
Activities planned with Pembroke: |
play catching ball, hiding seek in the house and play rolling like how I saw it on youtube. | ||||||
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: |
teach the puppy this can be fix and where to use the bathroom or eat | ||||||
Discipline: |
I normally see my friend use treat to train the puppy and pot training in the bathroom let the puppy get use to where they need to go. | ||||||
Where would Pembroke spend the majority of the time: |
in side the house and outside | ||||||
Discipline: |
I normally see my friend use treat to train the puppy and pot training in the bathroom let the puppy get use to where they need to go. Where would Pembroke spend the majority of the time: in side the house and outside |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
my dad home during the day if he doesn't have work. | ||||||
Where would dog eat? |
in the kitchen | ||||||
Where would dog sleep: |
In the puppy spot and my room | ||||||
Play & exercise: |
more than 30 hours a week because my dad always fixing things In the garage and my neighbor have puppies too they can play with corgi | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
|
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 around the back yard and have the door lock next to the wall very safe | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
we don't have pool but we have flowers and plants in the back yard very relaxable. | ||||||
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? |
venus nguyen | ||||||
Willing to train children? |
yes I will because my niece and nephew have been living with puppies before they love it. | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
Current pets dog friendly? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
I don't own any dog or cat right now. | ||||||
|
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: |
|||||||