Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 03/11/2020 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
Ideally, I'd like for the dog I adopt to play nicely with other dogs because my parents bring theirs into town once in a while. Definitely not a deal breaker, but something I'm thinking about 🙂 | ||||||
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? |
This Pembroke would be for myself! My dream dog is a Corgi and would ideally like to adopt one rather than going to a breeder | ||||||
Why do you want a Pembroke? |
I want to adopt a Pembroke Welsh Corgi for many reasons. The first is, I think they are the most adorable breed! It's really embarrassing but I have a ton of Corgi calendars and random trinkets around my house without having one, so it's definitely a dog I've wanted for a while. I love their size (perfect for my small house) and their fluffy butts. 🙂 Second, I love the nature and temper of the breed. The Corgis I've interacted with from Wag! walking and friends with them are that they were well-mannered, energetic and intelligent, yet a little sassy at times which I appreciate. I'm also a very active person (love walking and running outside) so I enjoy that they're athletic and not a 'lazy' breed.
I've done quite a bit of research on the breed to familiarize myself with what living with them would be like. It sounds like a good fit based on my living situation in Chicago. |
||||||
Activities planned with Pembroke: |
Walks along Lake Michigan, local dog parks (there's several in Chicago), play fetch (if the Corgi is into that) | ||||||
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: |
I suppose it depends on what the mistake is, but in my experience it's important to be calm yet assertive — and address the mistake immediately to avoid creating bad habits. | ||||||
Discipline: |
A couple negative re-reinforcement methods like time outs and withholding rewards, but I've learned that positive reinforcement goes a long way in creating good habits — like praise, treats and toys. | ||||||
Where would Pembroke spend the majority of the time: |
In my home! And when I am home, either hanging out with me or getting walked outside. | ||||||
Discipline: |
A couple negative re-reinforcement methods like time outs and withholding rewards, but I've learned that positive reinforcement goes a long way in creating good habits — like praise, treats and toys. Where would Pembroke spend the majority of the time: In my home! And when I am home, either hanging out with me or getting walked outside. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No | ||||||
Where would dog eat? |
My apartment, probably the kitchen | ||||||
Where would dog sleep: |
Likely either in my room or the living room, wherever is comfiest for him/her | ||||||
Play & exercise: |
I would take the Corgi on walks in the morning, afternoon and evening. And if I knew I was going to be gone for an extended period time during the day I would hire a walker. | ||||||
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? |
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? |
Me (Kathryn Pratt) | ||||||
Willing to train children? |
I do not have any children and will not for a few years, but when the time comes I will definitely be willing. | ||||||
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? |
Yes, all of our current pets are friendly toward dogs. | ||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
I do not have any other pets currently, but in the future this would be a big priority if I get more animals | ||||||
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} |