| Date & Referral Source | |||||||
| State: | Date of Application: | 06/26/2018 | 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful |
Other preferences: |
We have a cat at home, so this dog would need to be ok with our cat. Also, we are newly married and plan to have kids at some point in the future, so although we have no children in the home now, it would be great if this dog were ok with kids. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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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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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
This dog would be for me (Emily) and my husband. | ||||||
Why do you want a Pembroke? |
I love the breed. They are so cute and fluffy. I don't have a ton of experience with the breed other than swooning over other peoples' dogs that I see on the street and saying hello. | ||||||
Activities planned with Pembroke: |
We would play, go to the dog park, go on walks, (depening on the dog) travel – camping, short hikes, etc. | ||||||
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: |
My method for training would revolve around positive reinforcement. So anytime the dog does what we are attempting to do, they would get a treat or something along those lines. For discipline, we will use the word "no". Depending on what the dog does, we would most likely crate them for a bit, bring them over to the mess they made and tell them no. | ||||||
Discipline: |
N/a because I don't have a dog. | ||||||
Where would Pembroke spend the majority of the time: |
In our home. My husband and I work 9-5 jobs, so the dog would spend 9-5 at home with our cat. Other than that, we are active people and would take the dog for nightly walks, to our local dog park (just across the street), and out to play. | ||||||
Discipline: |
N/a because I don't have a dog. Where would Pembroke spend the majority of the time: In our home. My husband and I work 9-5 jobs, so the dog would spend 9-5 at home with our cat. Other than that, we are active people and would take the dog for nightly walks, to our local dog park (just across the street), and out to play. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, my husband and I both work 9-5 jobs. | ||||||
Where would dog eat? |
The corgi would eat in our home. | ||||||
Where would dog sleep: |
The corgi would sleep either in a crate in our bedroom, or on our bed with us. | ||||||
Play & exercise: |
We will go for walks, play fetch, run around outside, go to the dog park. We will take our dog for walks at least 5 times a week and go to the dog park every day or every other 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? |
No, you may not 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? |
Yes, the condo covenants do prevent me from owning a dog. | ||||||
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? |
Emily | ||||||
Willing to train children? |
We don't have children right now, but in the future we would like to, and yes we will train them how to treat our dog. | ||||||
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Any allergies? |
One or more family members might be allergic to dogs. | ||||||
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 | ||||||
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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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