| Date & Referral Source | |||||||
| State: | Date of Application: | 08/14/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Energetic |
Other preferences: |
Friendly | ||||||
| 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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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? |
Our family, consisting of us and our two kids, age 17 and 22. | ||||||
Why do you want a Pembroke? |
My family and I have always loved how small and adorable they were, specifically the way they walk around. We also love their larger than life attitude and how they are very loyal dogs. While we have never had a corgi before, we have seen some in our neighborhood and seen how friendly and loving they really are. I have done research on a corgi and how they shed a lot, their barking habits, and also their herding heritage. | ||||||
Activities planned with Pembroke: |
We would go for walks every single morning, afternoon, and night to explore his new home and landscape. We would also take him to dog parks and carefully introduce him to new dogs so he can have some friends to play with. We may even teach him how to swim so he can enjoy the water. | ||||||
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: |
We would show them that they made a mistake by saying bad dog and by putting it in timeout or by taking away treats. | ||||||
Discipline: |
We believe in positive reinforcement or punishment rather than just yelling or using a shock collar. We would take away treats, put them in timeout, or not interact with them to show them that they did something wrong. | ||||||
Where would Pembroke spend the majority of the time: |
They would spend most of their time inside our house, but we will still be able to take them outside very often to enjoy their environment while also getting used to it. | ||||||
Discipline: |
We believe in positive reinforcement or punishment rather than just yelling or using a shock collar. We would take away treats, put them in timeout, or not interact with them to show them that they did something wrong. Where would Pembroke spend the majority of the time: They would spend most of their time inside our house, but we will still be able to take them outside very often to enjoy their environment while also getting used to it. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, my son and daughter would be there in the morning ready to feed the corgi and take him for morning walks. | ||||||
Where would dog eat? |
They would eat food out of dog bowls filled with good, nutritious food and also water. | ||||||
Where would dog sleep: |
For the first few months, the adopted corgi would sleep inside a crate until he is fully potty trained, but when they are, we will allow them to sleep beside us in our beds. | ||||||
Play & exercise: |
We will always take the adopted corgi for a long walk in the morning (30+ mins), a walk in the afternoon, and a walk in the night to get plenty of exercise. We will also take them to dog parks to play with other dogs, but we will be cautious to introduce them first. Since we have friends with dogs of their own, we will be able to set up fun play dates for the adopted corgi to have lots of fun. | ||||||
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: |
Own home | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
We live in a home that has an open backyard about 15 meters across with only a fence along the back side, not on the sides. The front yard is also a very open 15 meters, with 2 large trees. | ||||||
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? |
Sidharth Prakasan | ||||||
Willing to train children? |
We have no young children in the household so we will not need to teach them what is right. We have friends with dogs who trust us to take care of them while they are on vacation. | ||||||
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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 for sure because we want to have a safe environment for all pets in our family, even 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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