| Date & Referral Source | |||||||
| State: | Date of Application: | 09/09/2018 | 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, Energetic, Very Active, Other (Please describe in the box below.) |
Other preferences: |
We have two cats, so our new corgi would need to be able to get along with them. | ||||||
| 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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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? |
It is for Meghann and I. | ||||||
Why do you want a Pembroke? |
We want to adopt a Pembroke Welsh Corgi because Meghann came in contact with the breed a few years ago and fell in love. We love their unique and vibrant personalities and, of course, how adorable they are! We have done research on the breed and realize that these dogs like to herd (very active) and can be noisy; however, we are willing to work with any issues and love the corgi! | ||||||
Activities planned with Pembroke: |
We would go on walks in the park and around the neighborhood, play with toys, play in the backyard, cuddle, go to the groomer, go to dog events around the city (if the corgi's personality permits), take naps together, play games together, and I'm sure many other things! | ||||||
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: |
It depends on the mistake, but never with physical force. Most likely we would give a distraction or an alternative to whatever the corgi has done. For example, if the corgi has pottied in the house, we would immediately take it outside. If the corgi chewed on a shoe, we would be firm in saying "no" and replace the shoe with a toy. | ||||||
Discipline: |
Firm voice, distractions | ||||||
Where would Pembroke spend the majority of the time: |
In our house/on our property. | ||||||
Discipline: |
Firm voice, distractions Where would Pembroke spend the majority of the time: In our house/on our property. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
The corgi would be alone between the hours of 9 AM- 4 PM durning weekdays. | ||||||
Where would dog eat? |
In the dining room (where it's food bowl would be) | ||||||
Where would dog sleep: |
Dog beds throughout the house | ||||||
Play & exercise: |
We would go on walks in the park and around the neighborhood and play in the backyard (have agility equipment for the corgi to utilize if needed). We would also play fetch and play with other toys inside the house. The corgi will get to play and exercise whenever Meghann and I are not at work. We have designated play/exercise time for our cats, so we would be sure to make designated time for our corgi, too. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
Chainlink fence | ||||||
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 have a third of an acre fenced in backyard. There are no fixtures, just grass and 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? |
Meghann Waddle | ||||||
Willing to train children? |
We have no children and do not plan on having 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 do everything in my power to make sure our pets at least tolerate each other peacefully. | ||||||
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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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