| Date & Referral Source | |||||||
| State: | Date of Application: | 08/31/2018 | 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: |
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 have two cats they are very friendly and good around other animals. Both are male | ||||||
| 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? |
This would be for me. I am single and live downtown. | ||||||
Why do you want a Pembroke? |
I have had a corgi before and I love them. I like the looks of the dog and their personalities. My corgi, fitzy was active and a good family dog. He did play rough with our three cats and loved to run around our neighborhood to visit everyone. He had a great personality. | ||||||
Activities planned with Pembroke: |
I would take him for walks and to visit my friends and family. especially my brothers family. They have two kids and a dog and I would bring my corgi with me when we visit and barbeque | ||||||
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: |
no yelling or anything like that just whatever is reccomended to me in obedience classes. | ||||||
Discipline: |
commands, and proper training right from the begininng | ||||||
Where would Pembroke spend the majority of the time: |
in my apartment with me and the two cats while I work. Several times outside, to the dog park and in my brothers yard on weekends. I also would imagine that I would make new friends through the dog and would have activities from that. Also, would take the dog out with me to do errands when reasonable | ||||||
Discipline: |
commands, and proper training right from the begininng Where would Pembroke spend the majority of the time: in my apartment with me and the two cats while I work. Several times outside, to the dog park and in my brothers yard on weekends. I also would imagine that I would make new friends through the dog and would have activities from that. Also, would take the dog out with me to do errands when reasonable |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
yes. I work from home and am home based most of the time. Limited travel | ||||||
Where would dog eat? |
in the kitchen with the cats , he/she would also have a bowl there. | ||||||
Where would dog sleep: |
in a pet bed or on my bed | ||||||
Play & exercise: |
walks, dog park – lakefront city living. He may also come to some restaurants with me where they allow dogs | ||||||
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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
no yard but do have a large courtyard with trees, benches, fountains , grassy areas | ||||||
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? |
Me | ||||||
Willing to train children? |
No children | ||||||
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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. I would not just give up and get rid of the dog or the cats. In my mind, pets are like children. A lifetime commitment. All of my pets I have had have lived out their lives with me and I never once thought about giving them up | ||||||
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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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