| Date & Referral Source | |||||||
| State: | Date of Application: | 08/28/2018 | Referred by: | Other | |||
| 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, 3 years – 5 years, 5 years – 10 years | 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? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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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? |
Both of us but primarily for myself, Rachel | ||||||
Why do you want a Pembroke? |
I love how Corgis have short, little legs. I love how happy Corgis always look and how loving and energetic they are. I have never personally owned a Corgi but I have read quite a bit on them online to prepare myself and it is a dream to have one of my own. I follow many social media accounts of Corgis and I can't wait to love my own dog. | ||||||
Activities planned with Pembroke: |
I will take my dogs on frequent walks to nearby parks. I also am looking forward to the inside play with toys and tug-of-war, throwing balls to fetch, and playing with other dogs (given that my future dog is okay with that, I don't want to overwhelm my dog with too many things, and I would probably gauge it depending on the dog. I also know of a few dog beaches nearby that I think would be fun. | ||||||
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 will first work on verbal commands, knowing "no" and "good dog" are good. I aim for positive reenforcement because I want to be as loving to my dog as possible. Maybe give rewards or tell the dog "good dog" when doing good things will help. I would really work on only saying "no" when necessary, and if necessary always remove the dog from situations such as is aggressive towards other dogs or things of the like. | ||||||
Discipline: |
Mostly verbal, telling them "bad dog" and "no" is the best method. Removing them from the situation, like if my dog is chewing on something it shouldn't be then I will give them something else to chew on like a toy. | ||||||
Where would Pembroke spend the majority of the time: |
While I am in class (part-time), I will crate my dog until I have trained them to stay inside the house. Otherwise, I will be allowing them through my apartment. I will take my dog outside frequently, and when I am home the dog will be out in the apartment with me | ||||||
Discipline: |
Mostly verbal, telling them "bad dog" and "no" is the best method. Removing them from the situation, like if my dog is chewing on something it shouldn't be then I will give them something else to chew on like a toy. Where would Pembroke spend the majority of the time: While I am in class (part-time), I will crate my dog until I have trained them to stay inside the house. Otherwise, I will be allowing them through my apartment. I will take my dog outside frequently, and when I am home the dog will be out in the apartment with me |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, except during class and work. I make my own hours though, so I will make sure to be home frequently. If I am gone for an extended period of time, I can have my roommate, boyfriend, or another friend stop by when necessary. | ||||||
Where would dog eat? |
Whatever is recommended online, by the shelter, or by a vet. I would also look online for what is good for Corgis or small dogs in general. | ||||||
Where would dog sleep: |
Either on a dog bed, with me on my personal bed (size full), or wherever the dog feels is most comfortable | ||||||
Play & exercise: |
I plan to take my dog out on walks to parks frequently. As a dog walker, I love walking dogs outdoors and I would also incorporate play indoors in the apartment such as fetch and tug-of-war (so long that it is safe) | ||||||
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: |
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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
N/A | ||||||
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? |
Rachel Zielinski | ||||||
Willing to train children? |
I don't have children, but if or when I do while having the dog I will teach them to be gentle with the dog. Being loving to the child and the dog and making sure they are safe is my top priority. | ||||||
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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? |
Don't have pets now, but if I adopted any pets in the future I would work to patiently introduce the dogs to each other and make sure that they are at least on levels to stay around each other before ever leaving them alone. | ||||||
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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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