Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 12/19/2019 | 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, 10 years +, Any age | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
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? |
for the applicant | ||||||
Why do you want a Pembroke? |
I love Pembroke Welsh Corgis because of their intelligence and inquisitive nature. I appreciate that they were bred as herding dogs. And I truly love their social nature and affinity for humans, other dogs and animals. I enjoy that they are sweet, gentle-natured but also need a lot of enrichment and love to play. I especially love how affectionate they are. I appreciate their affinity for food and would make sure to treat them within reason so that they can stay at a healthy weight for them. I have a soft spot in my heart for dogs, especially Pembroke Welsh Corgis and I would love to be able to love, spoil (with toys) and care for one of these wonderful corgis. | ||||||
Activities planned with Pembroke: |
-Go to the dog parks nearby – Walk by/Swim in the lake near my apartment (Depending on their preference for water and ability to swim) -Snuggle -Go for car rides -Play tug-of-war, and other games -Chase each other around -Go to the vet when necessary -Learn new tricks -Doing some agility training -Socialize with other dog friends and humans |
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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 try to prevent this accident from occurring again by using positive reinforcement when they are not performing this behavior. I would never use negative reinforcement training. I am currently studying to become a veterinarian and I know that animal behaviorists know that dogs don't understand or feel "guilty" for something they have done wrong. This is why I believe so strongly in positive reinforcement training. | ||||||
Discipline: |
-Distracting the dog from the negative behavior -If they are being destructive separating the dog from the item they are destroying and trying to get at the root cause of why they are doing that behavior (trying to see if maybe it has to do with unresolved anxiety) -Saying "No" and then asking them to sit or perform a command in order to take their mind off that behavior -This wouldn't be considered discipline but when they are not performing that activity then I would reward them. |
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Where would Pembroke spend the majority of the time: |
They would spend most of their time in my apartment or outside on walks or playing. But the bulk of their life would be in the home with me. | ||||||
Discipline: |
-Distracting the dog from the negative behavior -If they are being destructive separating the dog from the item they are destroying and trying to get at the root cause of why they are doing that behavior (trying to see if maybe it has to do with unresolved anxiety) -Saying "No" and then asking them to sit or perform a command in order to take their mind off that behavior -This wouldn't be considered discipline but when they are not performing that activity then I would reward them. Where would Pembroke spend the majority of the time: They would spend most of their time in my apartment or outside on walks or playing. But the bulk of their life would be in the home with me. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
People would be out of the house from midmorning(9 am) till mid-afternoon (3 pm) on weekdays but people are at home for the full day on the weekends. | ||||||
Where would dog eat? |
In the home at their appointed food and water dish area. And for fun and enrichment, they may get puzzle feeders to eat from which may need to move around the house for them to get their food out. | ||||||
Where would dog sleep: |
They would sleep in the crate until fully house trained and then they would have the option to sleep in a bed of their own or in the bed with me. | ||||||
Play & exercise: |
They will get to exercise at least four times a day. Getting a morning, late afternoon, and two evening walks. They will get to play and roam at dog parks on weekends. They will be free to play all night long and I will make sure to play with them for a minimum of 2-3 hours a day so that they are happy and have the best quality of life possible. | ||||||
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? |
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? |
Andrea Edinger | ||||||
Willing to train children? |
Yes but no children live in my 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? |
Yes, of course. | ||||||
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} |