| Date & Referral Source | |||||||
| State: | Date of Application: | 08/17/2018 | 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, Energetic, Very Active |
Other preferences: |
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| 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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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? |
For me and my daughters. McKenzie is 16 and McKayla is 13 | ||||||
Why do you want a Pembroke? |
My daughter McKenzie has been in love with corgis for years. She has a very quirky personality and so does corgis, so I believe that's where the fascination came from. The more she talked about getting one, the more convinced I became. I started following corgi pages on facebook, and have fell in love with them also. We don't believe in buying animals when there are so many dogs out there that need adopted. We have 3 cats that we have adopted also. |
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Activities planned with Pembroke: |
We love to go to parks and do outdoor stuff, so naturally our precious corgi would come with us. Between my daughters and I, our corgi would be able to go for walks everyday. | ||||||
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? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
Firmly tell them no, and try to correct them | ||||||
Discipline: |
I don't believe a dog should be disciplined. I believe you should correct their behavior and tell them no. If that doesn't work, then putting them in their crate is another option | ||||||
Where would Pembroke spend the majority of the time: |
With me or my kids. I would prefer not to use a crate unless its absolutely necessary. | ||||||
Discipline: |
I don't believe a dog should be disciplined. I believe you should correct their behavior and tell them no. If that doesn't work, then putting them in their crate is another option Where would Pembroke spend the majority of the time: With me or my kids. I would prefer not to use a crate unless its absolutely necessary. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, but I am usually only gone to work from 9:30-3;00 | ||||||
Where would dog eat? |
In the kitchen where his food bowl would be | ||||||
Where would dog sleep: |
In a dog bed | ||||||
Play & exercise: |
As I stated before, we like to go to parks and go on walks. So there will be plenty of exercise for our furbaby. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
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: |
My yard is almost fully fenced in. After adopting a corgi, I will fully fence the yard. There are no fixtures | ||||||
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? |
Donna Collins | ||||||
Willing to train children? |
My children have grew up around animals and have the biggest hearts when it comes to them. They know how to care for them and love them | ||||||
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Any allergies? |
No one is allergic. | ||||||
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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