| Date & Referral Source | |||||||
| State: | Date of Application: | 08/25/2018 | 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, Quiet, Playful, Energetic |
Other preferences: |
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| 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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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
For the above mentioned names as a family dog. | ||||||
Why do you want a Pembroke? |
We have always wanted a corgi because they are the perfect size and energy level for our family. We like a dog that is not too overly active, can play on it's own, and still have the ability to take it out for a walk to a dog park where it can interact with other dogs. The experiences that we have are more on the side of knowing people we corgis and enjoy playing with them. We understand that each dog breed has it's own characteristics and we understand what it will take to love and raise our future corgi. | ||||||
Activities planned with Pembroke: |
We love taking walks already and adding our corgi to the mix would be perfect. We have a yard and live near by parks where we can play fetch or run around. | ||||||
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: |
It would be a teaching moment for the dog and us. We would provide positive reinforcement while making sure that the dog knows the mistake and learns not to do it again. For example teaching the dog early on to use bells that are tied to the door whenever it wants to go outside to potty. | ||||||
Discipline: |
Our future corgi must understand that while they are a loved member of the family there are certain boundaries that cannot be tolerated. Proper behavior (no jumping, biting, etc) are allowed. In order for a dog to understand these rules we have to be firm in implementing discipline when necessary. When our corgi behaves in a desirable manner then kudos galore! | ||||||
Where would Pembroke spend the majority of the time: |
Inside for the majority of the day but with the ability to go outside for those necessary breaks. If it's summer time or nice outside we have the ability to let he or she spend additional time outside. At least once a gain we would take it for a long walk around the neighborhood so he/she can get the proper exercise. | ||||||
Discipline: |
Our future corgi must understand that while they are a loved member of the family there are certain boundaries that cannot be tolerated. Proper behavior (no jumping, biting, etc) are allowed. In order for a dog to understand these rules we have to be firm in implementing discipline when necessary. When our corgi behaves in a desirable manner then kudos galore! Where would Pembroke spend the majority of the time: Inside for the majority of the day but with the ability to go outside for those necessary breaks. If it's summer time or nice outside we have the ability to let he or she spend additional time outside. At least once a gain we would take it for a long walk around the neighborhood so he/she can get the proper exercise. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Currently one of us works from home and would be in the house during the day. | ||||||
Where would dog eat? |
We will establish a specific spot for our corgi to eat. Not near our kitchen table but in a place out of the way where he/she can eat peacefully. | ||||||
Where would dog sleep: |
We do not believe in letting pets of any kind on the furniture so our corgi will have a dog bed of his or her own. Depending on the dog's needs the bed could be in our room or in the living room, wherever it's best once we get to know the dog's personality. | ||||||
Play & exercise: |
A walk in the morning and evening will be routine. On weekends there are plenty of opportunities for more activity – playing with other dogs of friends and family. | ||||||
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? |
Yes | ||||||
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Description of yard: |
There is a small backyard, it is not fenced in, however it should suffice for quick walks to potty. There are no hazards in the yard that could potentially injure the corgi. We do have a 3 season porch where the corgi could roam around. | ||||||
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? |
Aleksandr and Laura | ||||||
Willing to train children? |
We do not have our own children, however we do have friends with children and we are willing to teach them how to treat a dog. Most of the children that we know have been raised with dogs in their household, so they should be aware of the boundaries. | ||||||
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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? |
We do now have any other pets at this time, however if we decide to adopt another dog, we will make sure that the two dogs can coexist with each other. | ||||||
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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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