| Date & Referral Source | |||||||
| State: | Date of Application: | 06/05/2018 | 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), 1 year – 3 years, 3 years – 5 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: |
Good with other dogs | ||||||
| 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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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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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Us! | ||||||
Why do you want a Pembroke? |
I want to adopt a Pembroke Welsh Corgi because of their personalities. They are very smart and goofy. I love how cute they are and how they are able to figure things out. Although I've never had experiences with the breed, I have been following the breed for years. I have done research and I believe Pembrokes are the breed for me. | ||||||
Activities planned with Pembroke: |
I would like to take my Pembroke on walks especially by the lake. I would also love to have beach days and car rides. | ||||||
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 use a firm voice and say, "No, that's bad!" but not yell or scream. | ||||||
Discipline: |
Scolding (not yelling), Dogs can sense human emotions so give off an upset vibe so they know they did something wrong. | ||||||
Where would Pembroke spend the majority of the time: |
Our Pembroke would spend most of his or her time in our home having free reign. We keep our home clean so they would not be able to get into anything dangerous. If gone for more than a few hours, we will crate them. | ||||||
Discipline: |
Scolding (not yelling), Dogs can sense human emotions so give off an upset vibe so they know they did something wrong. Where would Pembroke spend the majority of the time: Our Pembroke would spend most of his or her time in our home having free reign. We keep our home clean so they would not be able to get into anything dangerous. If gone for more than a few hours, we will crate them. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. | ||||||
Where would dog eat? |
On the tiled floor in a corner of the kitchen so they would not be disturbed. | ||||||
Where would dog sleep: |
On their bed in our bedroom, or wherever they find comfortable. | ||||||
Play & exercise: |
Our adopted corgi would be taken on multiple walks a day. We do not have a fenced in yard but across the street there is a fenced in field that we will take them to play in. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
Do not live in a house | ||||||
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? |
Marie Crowe | ||||||
Willing to train children? |
Yes, but I do not plan on having kids for a while. | ||||||
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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. We will not add other pets unless we know the pembroke would be okay with it | ||||||
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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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