| Date & Referral Source | |||||||
| State: | Date of Application: | 01/24/2019 | Referred by: | Other | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic, Very Active |
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 2 | |||||||
Dog 2 name: |
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Dog description: |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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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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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Dylan and Joel. | ||||||
Why do you want a Pembroke? |
We have read they are very energetic dogs. We are looking for a dog that will go on long walks with us. They aren’t too big but not too small. We’ve also read that a lot of Pembrokes like water and we live near a lot of water. | ||||||
Activities planned with Pembroke: |
We want to go on long walks, some agility activities at the dog park (after vaccinations are received), and swimming in the pool. | ||||||
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: |
Positive reinforcements. Instead of punishing the Pembroke for making a mistake, we would encourage him or her to do the right thing with small treats. | ||||||
Discipline: |
Positive reinforcements, and the crate should be a safe place, not a punishment zone. | ||||||
Where would Pembroke spend the majority of the time: |
The Pembroke would spend most of his or her time roaming freely around the house. 30-45 minute walks 2-3 times a day, with various bathroom breaks throughout the day as well. We also have a dog park in our neighborhood we want to make use of, after all vaccines are recieved/boostered. | ||||||
Discipline: |
Positive reinforcements, and the crate should be a safe place, not a punishment zone. Where would Pembroke spend the majority of the time: The Pembroke would spend most of his or her time roaming freely around the house. 30-45 minute walks 2-3 times a day, with various bathroom breaks throughout the day as well. We also have a dog park in our neighborhood we want to make use of, after all vaccines are recieved/boostered. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, as a college student I am only away from home for 3-4 hours a day, two days a week. I spend most of my free time at home working on school assignments. | ||||||
Where would dog eat? |
The Pembroke would have a water bowl available at all times in the kitchen. Depending on how the vet encourages us to feed the dog, once a day, twice a day or graze feed, we would feed him or her according to the vets discretion in the kitchen where food belongs. If the vet recommends a graze feed, we would keep the food bowl near the water bowl in the kitchen. | ||||||
Where would dog sleep: |
The adopted corgi would sleep where he or she wanted. If she wants to sleep in bed with us, we will let her. If she wants to sleep on the couch she can, if she wants to use her crate and dog bed she can. We don’t want to limit the dog in its own home. | ||||||
Play & exercise: |
We would walk her 2-3 times a day for 30-45 minutes to ensure that she’s walking enough and getting adequate time to use the bathroom. We have a dog park in our neighborhood we want to utilize at least once a day, where we can run around together or throw a toy around. | ||||||
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? |
We will use a leash when walking her in public places. Each apartment building in our complex has a fenced in area behind the building, as well as a community dog park that is fenced in. | ||||||
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? |
Yes | ||||||
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Description of yard: |
We live in an apartment. However our apartments have a backyard area behind all buildings and a fenced in dog park. | ||||||
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? |
Dylan Fhere | ||||||
Willing to train children? |
Yes. I wouldn’t allow a child to try and ride the dog like a horse, get in its face or pull on its tail. | ||||||
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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? |
No current pets | ||||||
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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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