| Date & Referral Source | |||||||
| State: | Date of Application: | 06/24/2018 | 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, 5 years – 10 years | Gender preferred: |
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, Energetic |
Other preferences: |
We live in an apartment building with a fenced yard. We're also right next to Powderhorn Park for easy access to walking paths and outside time! | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Myself and my partner, Ryan Japs. | ||||||
Why do you want a Pembroke? |
I love the personality types that the breed offers! The typical size of a corgi also suits my apartment lifestyle better than a larger breed. My partner has dog-sitted for a couple with corgis, and he fell in love with their companion.
I have personally lived with dogs my whole life, so they've always been apart of my life. Now that I have my own stable living situation/place, I'm looking for a dog to build my family! |
||||||
Activities planned with Pembroke: |
Lots of walks in the park, hanging out on pet-friendly patios, some snuggle time on the couch, and some tug-of-war play time! | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
|
Money for basic care? |
Yes | ||||||
Money for unforeseen medical expenses? |
Yes | ||||||
Willing to house train? |
Yes Willing to do formal training? Yes |
||||||
|
Do you have a veterinarian? |
No | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
I would be sure to do corrective training (clicker or treat training) to fix the behavior. | ||||||
Discipline: |
I prefer to use tone changes and verbal cues for discipline. | ||||||
Where would Pembroke spend the majority of the time: |
Most of the Pembroke's time would be spent in our apartment! | ||||||
Discipline: |
I prefer to use tone changes and verbal cues for discipline. Where would Pembroke spend the majority of the time: Most of the Pembroke's time would be spent in our apartment! |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
The longest the Pembroke would be alone (kenneled depending on behavior/training) would be for 5-6 hours. My partner finishes work around 1pm every day, and would take the Pembroke out for a walk upon arriving home. | ||||||
Where would dog eat? |
Our corgi would eat at our apartment, in our kitchen/dining area. | ||||||
Where would dog sleep: |
Our corgi would sleep (kennel if behavior needs training, no kennel if comfortable on its own) in our bedroom or living room. | ||||||
Play & exercise: |
We live right next to a park, have access to a fenced yard, and can offer in-apartment toys for play time and walks-a-plenty! | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
|
Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
It's a low, metal fence. The Pembroke would always be supervised when using the fenced area. | ||||||
Living arrangements: |
Rent/lease home | ||||||
Landlord info: |
|||||||
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 | ||||||
|
Description of yard: |
I live in an apartment with simple, community fenced yards (no pools or furniture). | ||||||
Household members: |
|||||||
Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
|
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? |
Whitney Storvick | ||||||
Willing to train children? |
No children reside in the apartment | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
Current pets dog friendly? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
I have no current pets and plan to only have one at a time in my current living situation. However, I plan to resolve any issues the corgi may have with other animals. | ||||||
|
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. | ||||||
|
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: |
|||||||