Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 10/27/2019 | 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, Playful, Energetic, Other (Please describe in the box below.) |
Other preferences: |
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Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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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? |
Ansley | ||||||
Why do you want a Pembroke? |
I want to adopt a corgi because I think they have a great relationship with people. All the corgis I know are bright, smart, and have great relationships with their people. They also seem like they can be trained to walk on a leash very well. I also think that the corgi is a great size that I would be very comfortable with. From what I have read, they seem to be able to live in an apartment well which is something I highly value as I live in an apartment now. | ||||||
Activities planned with Pembroke: |
I would like to take the corgi for long walks, throw a tennis ball if he/she could do so off leash without a yard. There is also an off leash dog meet-up across from my apartment that I would love to take my corgi to if it could socialize well with other dogs. | ||||||
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: |
I would use a stern voice to communicate to my corgi that it had make a mistake. Then, I would take the next opportunity to reward the good behavior opposite of that mistake. For example, if the corgi had an accident in my apartment, I would sternly communicate with my corgi when I found the accident and then spray nature's miracle, and the next time the corgi went to the bathroom outside I would give it a treat. | ||||||
Discipline: |
I think that discipling a dog can be very specific to the dog, so before I really decided how to discipline the dog I would want to learn more about the individual corgi I am adopting in order to understand how it learns best. Generally, I think the most important method of discipline is ensuring that your corgi respects you as its owner. Additionally, I have read that corgis often can nip at people's legs as a herding mechanism. To discourage this behavior I would first cry out in pain when the corgi did this even if it did not hurt to communicate to my corgi that this hurts people. Then I would use a stern voice to tell my corgi no. |
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Where would Pembroke spend the majority of the time: |
In my apartment. | ||||||
Discipline: |
I think that discipling a dog can be very specific to the dog, so before I really decided how to discipline the dog I would want to learn more about the individual corgi I am adopting in order to understand how it learns best. Generally, I think the most important method of discipline is ensuring that your corgi respects you as its owner. Additionally, I have read that corgis often can nip at people's legs as a herding mechanism. To discourage this behavior I would first cry out in pain when the corgi did this even if it did not hurt to communicate to my corgi that this hurts people. Then I would use a stern voice to tell my corgi no. Where would Pembroke spend the majority of the time: In my apartment. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Not regularly, although there is flexibility to work from home. | ||||||
Where would dog eat? |
In the apartment kitchen. | ||||||
Where would dog sleep: |
In my bedroom. | ||||||
Play & exercise: |
I would take the corgi for a walk in the mornings before work. Then when I got home from work I would also walk it as well as play with it in the apartment. I would use the weekends to take the dog for longer walks and play more. | ||||||
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: |
No, my landlord has not given me permission to adopt a Pembroke | ||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
Yes | ||||||
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? |
Ansley | ||||||
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? |
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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 pets currently, but would be willing to with potential future pets. | ||||||
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} |