| Date & Referral Source | |||||||
| State: | Date of Application: | 07/03/2018 | 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 | Gender preferred: |
Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
I want to make sure the corgi is in very goos health and is good with being around 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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| 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? |
It is for myself. | ||||||
Why do you want a Pembroke? |
My current partner’s family owns a tri-color corgi of this breed and she is the most loving and loyal dog. I have wanted a corgi my entire life but my family ended wanted bigger dogs. I love everything about them! They have great energy, they are active, some like to swim, the are cute as a button, the fluffy butts make me so happy. But I love most is how loyal they are. I have done my fair share of extensive research for the past half decade and know that a corgi is perfect for my life style and what I want in a dog. | ||||||
Activities planned with Pembroke: |
We would play in my backyard a lot for sure. It’s big and long in some parts so I would make she my corgi would stay healthy and active. There are lots of parks near me so trips there would happen. Also, trips in the local farmers market and trips to the dog beaches would be a special treat too. If I was ever gone or busy, I have my lovely partner and my roommates to help watch the corgi. | ||||||
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: |
I would speak kindly to it and know they have made a mistake and give it the chance to get it right. | ||||||
Discipline: |
I’m not a fan of cages so I would create a closed off area in my home that would be the “time out” spot. Treats would not be given, of course. | ||||||
Where would Pembroke spend the majority of the time: |
Outside. I have a good sized porch with covers shade that looks out over my yard that is gate so I would let my corgi roam where it would like to go. But I would train it to be a house dog since this is Chicago and once winter hits she/he would spend all her time inside. Unless she/he enjoys playing in the snow hahaha. | ||||||
Discipline: |
I’m not a fan of cages so I would create a closed off area in my home that would be the “time out” spot. Treats would not be given, of course. Where would Pembroke spend the majority of the time: Outside. I have a good sized porch with covers shade that looks out over my yard that is gate so I would let my corgi roam where it would like to go. But I would train it to be a house dog since this is Chicago and once winter hits she/he would spend all her time inside. Unless she/he enjoys playing in the snow hahaha. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. | ||||||
Where would dog eat? |
The room off to side of the kitchen near my room. | ||||||
Where would dog sleep: |
In my room or in the same room where her food/water would be. | ||||||
Play & exercise: |
I have a big backyard that wraps around my apartment so she would have plenty of opportunities to get her play time and exercise time in. My place is very large and long and has a basement and is on the first floor so she would be free run around the apartment without disturbing any neighbors. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
One whole side is a tall, nice black metal fence. The other side is the same but has a locked gate to back alley and a gate that leads to the front which also has a locked gate. | ||||||
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? |
No | ||||||
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Description of yard: |
I 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? |
Elena Baj | ||||||
Willing to train children? |
I do not have children. | ||||||
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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? |
Have no current pets. | ||||||
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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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