| Date & Referral Source | |||||||
| State: | Date of Application: | 12/21/2018 | 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, 3 years – 5 years | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
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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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! I plan on moving to Milwaukee this summer and need a walking companion! | ||||||
Why do you want a Pembroke? |
I want to adopt a Pembroke Welsh Corgi because I have always been in love with the breed. I think that Corgi's personalities are so unique and would be an amazing dog to raise on my own. Now that I am settling down in one city and living on my own, I would really like to have a dog that is known for its affection and alertness before I move to Milwaukee in the summer. I have done research on this breed over the past couple of years trying to convince my parents to get one, but I think now is the perfect time for me to adopt! | ||||||
Activities planned with Pembroke: |
I would bring my Pembroke on a lot of walks throughout the city, morning and night. I would also explore different nature trails with them and take visits to the dog park. | ||||||
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: |
If the Pembroke makes a mistake, I would make sure that they know what they did wrong and express my emotions. If it is an accident in a new place, I would understand, but if the Pembroke is just being naughty out of the ordinary, I would not reward them. | ||||||
Discipline: |
I would use positive reinforcement for discipline. I would not reward bad behavior, but reward good behavior. | ||||||
Where would Pembroke spend the majority of the time: |
My Pembroke would spend most of his or her time at home and outside. | ||||||
Discipline: |
I would use positive reinforcement for discipline. I would not reward bad behavior, but reward good behavior. Where would Pembroke spend the majority of the time: My Pembroke would spend most of his or her time at home and outside. |
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House dog or outside dog? |
Outside dog | ||||||
People at home during the day? |
Yes! | ||||||
Where would dog eat? |
My adopted corgi would eat in the kitchen | ||||||
Where would dog sleep: |
My adopted corgi would sleep in his kennel until he is comfortable enough to sleep in my room with me. Once I know that he can sleep through the night, I would allow him sleep with me! | ||||||
Play & exercise: |
I will provide my adopted corgi with opportunities to play and exercise by taking them on runs/walks, going to the dog park, and interacting with other dogs! My boyfriend has a very reserved and kind dog who is also a rescue. | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
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Description of yard: |
Very open yard with small concrete patio. A lot of trees and roaming space, but not fenced in. | ||||||
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? |
Bree Bzdawka | ||||||
Willing to train children? |
I do not have any children | ||||||
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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? |
Yes! | ||||||
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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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