| Date & Referral Source | |||||||
| State: | Date of Application: | 05/25/2018 | 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: |
1 year – 3 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Sable & White, Any color | Activity level: |
Outgoing, Quiet, Playful |
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? |
Both my fiance and I. | ||||||
Why do you want a Pembroke? |
We both personally love the breed. We want a small dog that is outgoing, but can be relaxed at times. I love that this breed of dogs are loyal companions and family friendly because that is important to us. We haven't had many experiences with the breed, but we have done research and we feel like we would be able to handle a dog that needs daily exercise. | ||||||
Activities planned with Pembroke: |
We would take him/her on walks around the university campus and go to the dog park to run around and play. We would give our corgi lots of love and affection! Our parents both have dogs and we enjoy playing and snuggling with them! | ||||||
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: |
We would redirect behavior to the desired outcome and positively reaffirm with praise or a treat. We are willing to learn other best practices on how to handle this situation as well! | ||||||
Discipline: |
Reward based methods have a positive affect with Pembroke Welsh Corgis. We would give our corgi a treat after obeying commands, however during the first stages of training our dog needs to understand that we are the leader and not the other way around. We are both very interested in learning best practices in training our corgi as well. | ||||||
Where would Pembroke spend the majority of the time: |
At our apartment home as well as getting exercise outside in the neighborhood. | ||||||
Discipline: |
Reward based methods have a positive affect with Pembroke Welsh Corgis. We would give our corgi a treat after obeying commands, however during the first stages of training our dog needs to understand that we are the leader and not the other way around. We are both very interested in learning best practices in training our corgi as well. Where would Pembroke spend the majority of the time: At our apartment home as well as getting exercise outside in the neighborhood. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Nick will be home sporadically throughout the day coming from classes. I will be there in the morning and afternoon once school is over. | ||||||
Where would dog eat? |
In our apartment home in the kitchen. We would leave our corgi with enough water and food for when Nick and I are out. | ||||||
Where would dog sleep: |
In our apartment home in a crate or dog bed. | ||||||
Play & exercise: |
We will play with our corgi in the apartment where there is ample space for him/her to move and learn new tricks. We will also take daily walks with our corgi around the university campus. | ||||||
How will you exercise your dog? |
On leash | ||||||
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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: |
Rent/lease home | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
Yes | ||||||
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Description of yard: |
There is a community green space our corgi could run around in. We would use a leash at first to train our corgi in the green space. | ||||||
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? |
Angela Koppa and Nick Zacharias | ||||||
Willing to train children? |
Yes | ||||||
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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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