| Date & Referral Source | |||||||
| State: | Date of Application: | 05/21/2018 | 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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
* good or tolerant with cats. playful chasing is okay but no aggressive chasing. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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| Dog 2 | |||||||
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| Dog 3 | |||||||
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| Dog 4 | |||||||
Dog 4 name: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Me, Caitlin. My parents have corgis and I adore them. Now I'm at a time in my life when it is possible for me to adopt and care for a dog, and I would like for that dog to be a rescued corgi. | ||||||
Why do you want a Pembroke? |
My parents have had three corgis. Their first two corgis, Pearl and Van died from old age (both 13) and a couple of years they adopted Harley, an 11 month old corgi girl. I lived them with my parents for a few years after college, and helped to care for Pearl and Van, including walks and feedings. In fact, Pearl and I were quite attached to one another. I love how intelligent and loyal but playful the breed is. I often went on hikes with Van and Pearl, and was always impressed, despite their little legs, they were always able to keep up. I especially enjoy how sassy Corgi girls are (I can relate 🙂 ) I understand that despite their short stature, Corgis need exercise and activities which for me would be twice daily walks around the neighborhood, and weekend hiking trips, as well as a yard where they can snuffle around and sun bathe, and bark at squirrels. | ||||||
Activities planned with Pembroke: |
Hiking, walks, playing out in the yard. | ||||||
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? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
I would never yell at or hit a corgi if it made a mistake. Depending on the mistake, I would correct the corgi's behavior when appropriate using a corrective phrase or body language. | ||||||
Discipline: |
Corrective phrase ( examples: "leave it" for eating random things off the ground as corgis are wont to do, "that will do" for excessive barking, or "let's go outside" for a catch all for inappropriate behavior.) | ||||||
Where would Pembroke spend the majority of the time: |
The corgi would have the full run of the house and would not be restricted to a specific room or floor of the house. For the occasions when I'm not working from home or have an extremely long workday I am looking into doggy daycare options in Indianapolis. | ||||||
Discipline: |
Corrective phrase ( examples: "leave it" for eating random things off the ground as corgis are wont to do, "that will do" for excessive barking, or "let's go outside" for a catch all for inappropriate behavior.) Where would Pembroke spend the majority of the time: The corgi would have the full run of the house and would not be restricted to a specific room or floor of the house. For the occasions when I'm not working from home or have an extremely long workday I am looking into doggy daycare options in Indianapolis. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No. Although I do have a flexible work schedule that would allow me to come home for lunch and work from home occasionally. | ||||||
Where would dog eat? |
In their crate. The crate will either be in the kitchen, living room, or dining room, depending on the size. | ||||||
Where would dog sleep: |
While the corgi would have its own designated bed, the corgi would be free to sleep wherever the corgi would choose. | ||||||
Play & exercise: |
Doggy dates with the friends with dogs, there are a couple of dog parks in Indianapolis. During the spring, summer, and fall, I like to go hiking and I would bring the dog along as a companion. Day-to-day, it would probably be twice daily walks, and then lots of toys and ball chasing in the yard. If the corgi is interested, I would be up for some agility training as well. I would just like the corgi to be happy and would find activities that matched with the corgi's personality. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
The majority of the fence is a 6 ft privacy spot. The access to the driveway and the garbage can is a shorter 4 inch picket fence. The gate door has a latch so that it closes securely. | ||||||
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? |
No | ||||||
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Description of yard: |
It's a fenced yard that is quite long that is large enough for to epxlore with a fenced vegetable garden, and a brick patio. There is a shed that has a door that securely latches (so that the corgi would not be able to get to any dangerous chemicals.) No swimming pool. |
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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? |
CaitlinPollock | ||||||
Willing to train children? |
I do not have a child currently but if I do, yes my child would know how to humanely care for animals. | ||||||
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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, I am willing to use corrective phrases and obedience training to help the Pembroke get along with my cat. Any pets I might had in the future would have to be introduced to the Pembroke and both show no aggression to one another before considering adopting. It would have to be a good "fit." | ||||||
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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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