| Date & Referral Source | |||||||
| State: | {Applicant State:2} | Date of Application: | 03/11/2019 | Referred by: | Website | ||
| Contact Information | |||||||
| First name: | {First Name:98} | Last name: | {Last Name:97} | First name 2: | {First Name 2:94} | Last name 2: | {Last Name 2:93} |
| Address | |||||||
| Street: | {Street Address:3} | ||||||
| City: | {City:4} | State: | {State:5} | Zip: | {Zip:6} | ||
| 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic, Other (Please describe in the box below.) |
Other preferences: |
We both grew up with dogs that lived long, heathy lives are were considered members of the family. We have waited two years until we felt ready to start our search for the next addition to our family. I (Kathleen) work from home so the dog would get a lot of love and attention 24 hours a day! | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
|||||||
Dog 1 name: |
{Dog Name (Most recent/ current first):24} | ||||||
Dog description: |
{Description of Dog:25} | ||||||
How long owned? |
{Length of time owned:26} | ||||||
Where is this dog now? |
{Where is this dog now? (Explain if you no longer have the dog):37} | ||||||
| Dog 2 | |||||||
Dog 2 name: |
{Dog Name (Most recent/ current first):30} | ||||||
Dog description: |
{Description of Dog:33} | ||||||
How long owned? |
{Length of time owned:35} | ||||||
Where is the dog now? |
{Where is this dog now? (Explain if you no longer have the dog):39} | ||||||
| Dog 3 | |||||||
Dog 3 name: |
{Dog Name (Most recent/ current first):29} | ||||||
Dog description: |
{Description of Dog:32} | ||||||
How long owned? |
{Length of time owned:36} | ||||||
Where is dog now? |
{Where is this dog now? (Explain if you no longer have the dog):27} | ||||||
| Dog 4 | |||||||
Dog 4 name: |
{Dog Name (Most recent/ current first):28} | ||||||
Dog description: |
{Description of Dog:31} | ||||||
How long owned? |
{Length of time owned:34} | ||||||
| Where is this dog now? | {Where is this dog now? (Explain if you no longer have the dog):38} | ||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Both of us—we are engaged and looking to adopt our first dog together! | ||||||
Why do you want a Pembroke? |
Their personality, loyalty, and energy! We love corgis because they can have an attitude of their own and are go-getters. We understand that they need a lot of stimulation and are prepared to put a lot of work into their training and fun activities. We have read many articles around corgis temperament and natural herding tendency. Our most recent family dog was a rescue and I spent a lot of time in obedience classes, at the dog park, and in the backyard with him making sure he was happy and entertained. | ||||||
Activities planned with Pembroke: |
Walks for days! We also live right next to the lakefront path and a short stroll to the dog beach by Montrose. He or she would get plenty of fresh air and playtime. I’m also interested in training if there are anything dog and owner need to work on together. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
|
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: |
{If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52} | ||||||
Will handle mistakes Pembroke makes like this: |
Dogs are going to make mistakes. You can tell them no in a calm manner and move on and reward good behavior. Consistency is daily training is key to correcting bad behavior. | ||||||
Discipline: |
Calm, but stern nos and timeouts. Positive reinforcement and reward for good behavior. | ||||||
Where would Pembroke spend the majority of the time: |
In our condo and outside! As previously mentioned, I work from home so I always like to get out of the house and walk. | ||||||
Discipline: |
Calm, but stern nos and timeouts. Positive reinforcement and reward for good behavior. Where would Pembroke spend the majority of the time: In our condo and outside! As previously mentioned, I work from home so I always like to get out of the house and walk. |
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|
House dog or outside dog? |
Outside dog | ||||||
People at home during the day? |
Yes! I work from home. | ||||||
Where would dog eat? |
We’d have a designated area in the kitchen. A place they’d know is for feed time. | ||||||
Where would dog sleep: |
We’d probably designate an area so he or she would know this is your space to sleep, relax, feel safe. If that’s not their style, we could fence off an area with a comfy bed or sleep in our room. Depends on what they need! | ||||||
Play & exercise: |
As previously mentioned, we live in a great area that has a large dog community. Since I work from home, multiple walks a day and opportunity to play. Lakefront strolls, dog beach, dog-friendly patio season! | ||||||
How will you exercise your dog? |
On leash | ||||||
|
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: |
{If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67} | ||||||
May we contact your landlord? |
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Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
N/A | ||||||
Household members: |
{Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75} | ||||||
Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
|
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? |
Kathleen | ||||||
Willing to train children? |
Of course | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80} | ||||||
|
Current pets dog friendly? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
N/A | ||||||
|
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. | ||||||
|
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: |
{Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87} | ||||||