Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 10/22/2019 | 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: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
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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? |
My partner, Drew and I. | ||||||
Why do you want a Pembroke? |
The Pembroke Welsh Corgi breed is one of my most favorite breeds. Besides the absolutely adorably short legs and spunky attitudes, I love their photogenic, loyal and social nature. I have had short and long interactions with different corgis in my life, and each one I was able to be affectionate and give the corgi a ton of my love. It's been my dream to have a corgi and it's also been a dream of mine to adopt a dog and this opportunity is perfect for me. I've done great amounts of research on the breed, the common health problems, the average lifespan and demeanor. I know they can be playful, outgoing, and at times mischievous but I cannot imagine a more perfect dog for me than a Pembroke Welsh Corgi. My partner, Drew, even conspired with his sister to allow a neighborhood corgi to be my guest of honor at my surprise birthday party this year, and it was incredible. | ||||||
Activities planned with Pembroke: |
I dream of lounging on the couch with my Pembroke and relaxing and cuddling. I am very active and love going for walks and runs, and while I know their legs couldn't keep up with a run I'd love to take my Pembroke on nice walks and to the parks near my apartment to be social, get to know other dogs or humans in the neighborhood (if they're comfortable with it) and play with toys, exploring the outdoors. I spend a lot of time in my own home and would love to have a Pembroke keep me company. And if I go anywhere in the city, it's going to be a place that allows my Pembroke to be right by my side. | ||||||
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? |
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. What's most important is how we handle them. If (and when) my Pembroke makes a mistake, I will firmly tell them "No!" and allow my tone of voice to be strict and my facial expression to be clear, but not yelling in any way. After, I will immediately show them the corrective action, and if they continue the behavior in the correct way, I will forgive them and praise them for the right behavior. | ||||||
Discipline: |
I believe positive reinforcement is the best way to train a dog. By reinforcing with attention, praise and/or treats I believe the dog will learn the most effectively and the quickest. | ||||||
Where would Pembroke spend the majority of the time: |
Our Pembroke will spend the majority of his or her time in our apartment. | ||||||
Discipline: |
I believe positive reinforcement is the best way to train a dog. By reinforcing with attention, praise and/or treats I believe the dog will learn the most effectively and the quickest. Where would Pembroke spend the majority of the time: Our Pembroke will spend the majority of his or her time in our apartment. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
During the weekends, there will always be at least one person at home during the day and night at the house. During the weekdays, the corgi will be alone during the day. However, I work a mile from my work and can come home during lunch to visit and ensure they are getting a bathroom break. | ||||||
Where would dog eat? |
We have a dining room near the kitchen in our apartment where we could set up a permanent eating and drinking spot for our corgi. | ||||||
Where would dog sleep: |
We would like to put a dog bed in the family room for day sleeping, as well as a dog bed in our bedroom for our corgi to sleep during the night. Wherever he or she feels the most comfortable, we will let them sleep there. Again, we also have a crate if that is the best option, but we don't want them to feel confined. | ||||||
Play & exercise: |
I will give our corgi a 30 minute walk in the morning and then take them to the park and on a walk in the afternoon to get exercise and play time in. Then we will go on one more walk before bed time. I'm always going on walks in my neighborhood and would love to bring my corgi with me. I will also spoil my corgi with all the toys he or she could need to keep them actively engaged at home while we're not outside or on a walk or at the park. | ||||||
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: |
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? |
Yes | ||||||
Description of yard: |
We have a front yard with a park across the street. Behind our apartment is a closed off parking lot with remote-only access. | ||||||
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? |
Haley Hamann | ||||||
Willing to train children? |
Yes, however there are no children in our household currently. | ||||||
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? |
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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? |
Absolutely willing to do whatever it takes to make sure they all get along. | ||||||
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} |