| Date & Referral Source | |||||||
| State: | Date of Application: | 07/31/2018 | 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, Other (Please describe in the box below.) |
Other preferences: |
I will be moving to this apartment On September 1st, so I can't adopt until after that. I also have to apply for a pet agreement with my landlord, which may make the adoption process take a few days longer. | ||||||
| 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? |
Me. My boyfriend will help take care of our pet, but they will ultimately be my responsibility. | ||||||
Why do you want a Pembroke? |
I enjoy the spunkiness that many Pembroke Welsh Corgi's have! I also prefer a dog/ dog breed that wants a lot of affection, as I enjoy giving dogs a ton of affection and attention. At the animal shetler I have been volunteering at throughout college, the dogs I enjoyed working with most were often some sort of corgi mix. | ||||||
Activities planned with Pembroke: |
Walks around the neighborhood, going to the dog park, doggie play dates (if they like other dogs), chew toys, treat games & bones for when I will be gone for a few hours. | ||||||
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: |
With minor mistakes, simply redirection. If a dangerous mistake- physically remove them from the situation. | ||||||
Discipline: |
Redirection, repetition, and positivie reinforcement. | ||||||
Where would Pembroke spend the majority of the time: |
In our living room, den, and bedroom. Definitely on the furniture and in our bed if they want to. | ||||||
Discipline: |
Redirection, repetition, and positivie reinforcement. Where would Pembroke spend the majority of the time: In our living room, den, and bedroom. Definitely on the furniture and in our bed if they want to. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, the majority of the time. If not home, my main job allows me to bring my dog to work. | ||||||
Where would dog eat? |
In our den/living room. | ||||||
Where would dog sleep: |
On our bed if they want, otherwise in a dog bed. | ||||||
Play & exercise: |
At least twice a day for outside walks that would be 10-30 minutes each. Plenty of active playtime inside with toys. | ||||||
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: |
Large apartment | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
Yes | ||||||
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Description of yard: |
Not applicable. | ||||||
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? |
Hailey Schiedermayer | ||||||
Willing to train children? |
Yes I am. I do not plan on having a child for more than 5 years, but I will be teaching them how to treat animals from an early age. | ||||||
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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? |
I do not have any current pets, I will work hard to resolve any problems my dog may have with another dog, if we adopt a 2nd dog in the near 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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