| Date & Referral Source | |||||||
| State: | Date of Application: | 12/15/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Male | Color preferred: |
Red & White, Sable & White | Activity level: |
Outgoing, Playful, Energetic |
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? |
Myself, but my partner and I would be caring for it together. | ||||||
Why do you want a Pembroke? |
I have been in love with the corgi breed as long as I've know dogs. I grew up on a hobby farm so we were only allowed to have Labs/Springers. I have been on the quest to adopt instead of shop for a corgi. Hoping that maybe someday I can have an adorable little companion such as a corgi. I love their personalities the most, they are spunky, sassy at times, and clever. I also enjoy their look, cute and short. Once I was told by a friend if I was a dog I would be a corgi, and that's without them knowing my love for them. I have done my research, and I currently own a well behaved hearding dog. I believe they would get along nicely. | ||||||
Activities planned with Pembroke: |
I am a frequent dog park visitor. I also live close to downtown Minneapolis so I enjoy walking the dogs. I also have a large fenced in back yard where I can hang out with the dogs while they play. | ||||||
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: |
Accommodate in the appropriate way. Every dog makes mistake and are learning just like humans. | ||||||
Discipline: |
I usually scolded for bad behavior either by showing the dog what they did wrong and use a stern tone, even sometimes us the crate as a punishment. But I rather have a crate be a safe place for a dog than a time out. | ||||||
Where would Pembroke spend the majority of the time: |
With me, my boyfriend and other dog in the house or going places with us. | ||||||
Discipline: |
I usually scolded for bad behavior either by showing the dog what they did wrong and use a stern tone, even sometimes us the crate as a punishment. But I rather have a crate be a safe place for a dog than a time out. Where would Pembroke spend the majority of the time: With me, my boyfriend and other dog in the house or going places with us. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I currently live with 2 other people. Whom all are okay with me getting another dog. | ||||||
Where would dog eat? |
I feed my heeler Nutrisource and he does well with it so I would try that brand first | ||||||
Where would dog sleep: |
in bed with me | ||||||
Play & exercise: |
Very often, I have a big back yard, and another dog he could play with. | ||||||
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? |
Metal fence all the way around. | ||||||
Living arrangements: |
Rent/lease home | ||||||
Landlord info: |
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May we contact your landlord? |
No, you may not 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: |
My yard is long, with a garage in one corner of it. I do have a fire pit, which someone is always attending to if it is lit. | ||||||
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? |
Caitlin Walbridge (myself) | ||||||
Willing to train children? |
Yes, but I 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 will do my best to keep the harmony. | ||||||
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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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