Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 06/17/2019 | 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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Quiet, Playful |
Other preferences: |
I live in walking distance from my work, the job also provides a lot of freedom. Visiting/working from home is not an issue, so activity level and attention required would not be a an issue. I'm also an extremely active person myself so playtime required for any activity level would also not be an issue. | ||||||
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? |
He or she would be joining my home. ? | ||||||
Why do you want a Pembroke? |
I've loved the Corgi breed sense I was a child. Family friends had several and I've had lots of time growing up getting to know them. I grew up with a Gold Retriever and I know thats very different but I believe it also provided experience and knowledge of expectations for a friend like that. I've done lots of research and I was originally looking for only a puppy, but my eyes and opened and I feel open to any age of such a new friend. | ||||||
Activities planned with Pembroke: |
Morning/Lunch/Evening walks. Visiting dog parties my friends often have. Lots of trips to the dog Park. (We have many in and around Madison.) I'm single and live alone, there would be ample time for general affection. (I'm also an extremely active person myself, runs/walks/working out I believe the breed fits nicely with my own personality.) | ||||||
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 |
||||||
Do you have a veterinarian? |
No | ||||||
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: |
Mistakes happen. Its important to be patient and willing teach through affection and understanding. | ||||||
Discipline: |
No hitting. Its important to be firm and strong while teaching, but positivist goes a long way. I've always found that Honey always goes over better than Vinegar. | ||||||
Where would Pembroke spend the majority of the time: |
With me or at home when I'm at work or in the office. I've I'm leaving town my friends have already offered to home him/her. They are all dog owners themselves, I've always watched them when they leave town. | ||||||
Discipline: |
No hitting. Its important to be firm and strong while teaching, but positivist goes a long way. I've always found that Honey always goes over better than Vinegar. Where would Pembroke spend the majority of the time: With me or at home when I'm at work or in the office. I've I'm leaving town my friends have already offered to home him/her. They are all dog owners themselves, I've always watched them when they leave town. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I'm home off and on all day. | ||||||
Where would dog eat? |
There is a perfect place in my kitchen for bowls. | ||||||
Where would dog sleep: |
Either with me or in a bed just for him/her. | ||||||
Play & exercise: |
Just trying to keep up with me will be a lot of activity haha. But walks morning/lunch/evening, lots of trips to the dog park and visits to my friends homes who all own dogs as well. | ||||||
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? |
|||||||
Living arrangements: |
Rent/lease 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? |
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
NA | ||||||
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? |
Paul Braunschweig (me) | ||||||
Willing to train children? |
N.A | ||||||
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? |
Yes but no other pets live at my home currently. | ||||||
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} |