| Date & Referral Source | |||||||
| State: | Date of Application: | 06/12/2018 | 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: |
We would prefer a dog that is already house-trained due to living in an apartment. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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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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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
This dog will be our family dog, for my husband Thaddeus and myself. | ||||||
Why do you want a Pembroke? |
We are interested in adopting a Pembroke Welsh Corgi because we believe that the general temperament of this breed, as well as their size, would be a great fit for our lifestyle. We live near Uptown Minneapolis in an apartment, and love to spend time at home but also enjoy going out for walks and light recreation around town. We have been looking to add a dog to our family since we got married last summer, and having finally settled in the Twin Cities, we are excited for the chance to give a rescued dog a loving home. We have both grown up with multiple dogs and cats, and understand that pet ownership involves a commitment to the pet and to lifelong training (of both the dog and ourselves!). We have researched the breed and understand that they may require some training, especially around barking, and are prepared to train with positive reinforcement and treats. | ||||||
Activities planned with Pembroke: |
Walking and playing (we live adjacent to the Minneapolis Greenway to accommodate frequent walks), and we live in a pet friendly community with lots of other dogs, so there will be socialization opportunities. About a mile down the path is also a fenced off-leash dog park, that we would love to take a dog to so long as it was comfortable with that kind of experience. | ||||||
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: |
Work to encourage alternative behaviors using positive reinforcement and shaping. | ||||||
Discipline: |
We focus on using positive reinforcement such as treats and praise. | ||||||
Where would Pembroke spend the majority of the time: |
In our apartment home, which is about 1100 square feet and has two bedrooms. | ||||||
Discipline: |
We focus on using positive reinforcement such as treats and praise. Where would Pembroke spend the majority of the time: In our apartment home, which is about 1100 square feet and has two bedrooms. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
My husband Thaddeus is a professor and will have more flexible hours to be home with the dog for at least part of each day. We don’t anticipate we would ever leave the dog home alone for more than 5 hours maximum. | ||||||
Where would dog eat? |
In our apartment home. | ||||||
Where would dog sleep: |
In our bedroom on a dog bed. | ||||||
Play & exercise: |
We will play with the corgi inside our home as well as outside while they are on a leash. We will take them for at least two walks per day. | ||||||
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: |
N/a | ||||||
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? |
Thaddeus Rada-Bayne | ||||||
Willing to train children? |
If we have children in the future, 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? |
If we ever have additional pets (we aren’t planning to), we are willing to work to resolve any issues. | ||||||
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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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