| Date & Referral Source | |||||||
| State: | Date of Application: | 06/14/2018 | 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: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Male, Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Other (Please describe in the box below.) |
Other preferences: |
Likes to cuddle. Loves to play sometimes. Not too afraid of strangers. |
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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? |
For myself. | ||||||
Why do you want a Pembroke? |
I have always had an obsession with Pembroke Welsh Corgis and since I moved after my graduation, I believe I am ready to take care of a corgi emotionally and financially. To be entirely honest, I first fell in love with their cute bouncy butts! I love how they are great companions for their owners and can provide emotional support. They also have their own unique characters that stand out from other breeds. I have a few friends who owned corgis and I have always loved hanging out with them and taking their corgis on walks when the owners are not free. Since I have decided to rescue a corgi of my own, I have researched extensively about their breeds, character traits, possible health issues, and so on. | ||||||
Activities planned with Pembroke: |
I would love to go on walks with my Pembroke in my neighborhood and hopefully find other Pembroke meetups in my area for play dates. I also love to play tug with him/her and cuddle with them at night when we are both relaxing. I also would like to make bath time a fun time and love to pamper my Pembroke, especially on his/her gotcha day with doggie ice cream. I would also love to take him/her to obedience classes and other training classes as needed so he/she could be the best cutest Pembroke! | ||||||
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: |
If the Pembroke makes a mistake, I would sternly tell him/her about what happened and why I do not like it. I might also not give him/her treats for that day so s/he knows that s/he made a mistake. I also would find out WHY the Pembroke made that certain mistake: is it mostly my error such that did I place the work papers in a place that s/he can reach. Then, I would make sure that all paper products are not in plain sight or can be easily reached by my Pembroke to ensure his/her safety. I will also inform this instance to his/her obedience class teacher so appropriate steps can be taken. | ||||||
Discipline: |
I would use conditioning method such as positive reinforcement. I would reward the corgi with treat if he/she does something positive/favorable. I would not give him/her a treat if he/she makes a mistake. I would also use a stern voice when he/she makes a mistake but would not use negative reinforcement. | ||||||
Where would Pembroke spend the majority of the time: |
My Pembroke will spend most of the day in my apartment. I will take him/her out on walks after work and/or during lunch time. | ||||||
Discipline: |
I would use conditioning method such as positive reinforcement. I would reward the corgi with treat if he/she does something positive/favorable. I would not give him/her a treat if he/she makes a mistake. I would also use a stern voice when he/she makes a mistake but would not use negative reinforcement. Where would Pembroke spend the majority of the time: My Pembroke will spend most of the day in my apartment. I will take him/her out on walks after work and/or during lunch time. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, sometimes but mostly no. | ||||||
Where would dog eat? |
My corgi will eat in the living room that is adjoining the kitchen. | ||||||
Where would dog sleep: |
I would have a bed for him/her next to my bed. He/she will be sometimes (mostly always because I like spoiling my pets when I was young) sleep on the end of the bed if s/he wants. I would not force him/her though. But, for sure, he/she will have a cozy place to sleep in my bedroom. | ||||||
Play & exercise: |
I will walk him/her daily once in the morning and once after work. I will also seek out other corgi or dog owners so that we can have play dates. I will also take my Pembroke to dog parks so he/she can play and exercise with other dogs freely. S/he will definitely have play dates once a week on weekends. | ||||||
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: |
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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: |
I do not live in a house. I rent an apartment. | ||||||
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? |
Han Thazin Tun | ||||||
Willing to train children? |
I do not have a child and will not have one for at least another decade. | ||||||
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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, I am willing to try to resolve the problem if I have other pets in the future. | ||||||
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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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