| Date & Referral Source | |||||||
| State: | Date of Application: | 05/27/2018 | 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: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 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: |
I would like to mention for my application that I was a veterinary technician for a few years before my current career. I have lots of experience taking care of animal needs and love this breed the absolute most. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
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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How long owned? |
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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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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Myself | ||||||
Why do you want a Pembroke? |
I have done quite a bit of reseaech on the breed and find them very intelligent and friendly that happen to be very beautiful. I have had experience with other people's corgis and cannot honestly see myself with any other breed. | ||||||
Activities planned with Pembroke: |
Im very active and think dog beaches, walks as well as dogs parks, my apartment has a dog park will be a lot of fun as well as a great opportunity to socialize my corgi with other dogs. | ||||||
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: |
Positive reinforcement is key to raising a happy healthy dog. | ||||||
Discipline: |
I would use kenneling when needed but discipline wouldnt be necessary as much so long as you are patient and use good positive reinforcement. | ||||||
Where would Pembroke spend the majority of the time: |
With me in our apartment but when i have to go into the office it wouldnt be for more than 4 hours at a time. | ||||||
Discipline: |
I would use kenneling when needed but discipline wouldnt be necessary as much so long as you are patient and use good positive reinforcement. Where would Pembroke spend the majority of the time: With me in our apartment but when i have to go into the office it wouldnt be for more than 4 hours at a time. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I live alone but work at home 1-3 days a week and live 10 minutes from work so i come home for lunches. | ||||||
Where would dog eat? |
Inside in his/her area near their kennel and bedding area. | ||||||
Where would dog sleep: |
Depending on it's temperment and comfort level with me it would sleep in my bed or in it's own bed located near me. | ||||||
Play & exercise: |
At least a few hours a day. Im very active and very passionate about a socialized animal is a happy animal. | ||||||
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? |
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: |
We have a dog park connected to the area. We do have a fenced off pool that does not allow dogs. | ||||||
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? |
Mike Sheehan | ||||||
Willing to train children? |
Of course. | ||||||
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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 will make sure they are well socialized and obedient. | ||||||
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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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