Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 06/06/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Sable & White | 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? |
Applicant 1! I live alone. | ||||||
Why do you want a Pembroke? |
First of all, of course I love Corgi's cute face and the butt and the way they stare at humans. But I really love Corgi's personality as well! The loud barking nature of corgis is just adorable to me, and I feel like this trait means the corgis want to communicate and be known from their surroundings. I also know that corgis shed a lot due to their double coats. I expect this and it is fine with me. Also, I'm aware of the high energy that corgis have! This is the main reason I want to adopt. I want to be with them, play with them, and give love. I also know corgis need a lot of attention. All of these traits are lovely to me. | ||||||
Activities planned with Pembroke: |
I'd play in my house and there is a dog park in my apartment. An outdoor dog park where dogs can play, walk, run, and explore! I'll go for 1-2 walks or plays a day, and I'll continuously give my attention throughout the day. | ||||||
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: |
First, I would calmly correct the behavior and let him/she know that the behavior is not okay. I won't excite the Pembroke, but rather be cold and quietly correct the behavior. Then, I'd take the Pembroke outside and go for a walk after teaching! | ||||||
Discipline: |
If it's a simple whimpering to get my attention, I would calmly walk out and not give reaction to not please him right away. If there is a mistake, I'd teach like how I answered in the first question. I'd also use puppy treats to reward good behavior! I'd never get suddenly angry or anything, but rather teach then distract his attention by playing with him with toys or taking him out for a walk. | ||||||
Where would Pembroke spend the majority of the time: |
Inside my apartment and in my apartment's dog park! | ||||||
Discipline: |
If it's a simple whimpering to get my attention, I would calmly walk out and not give reaction to not please him right away. If there is a mistake, I'd teach like how I answered in the first question. I'd also use puppy treats to reward good behavior! I'd never get suddenly angry or anything, but rather teach then distract his attention by playing with him with toys or taking him out for a walk. Where would Pembroke spend the majority of the time: Inside my apartment and in my apartment's dog park! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
There is no one from 9-6 if I'm working in the office. I'm planning to find a play date from my apartment residents or find a dog daycare! | ||||||
Where would dog eat? |
In my apartment | ||||||
Where would dog sleep: |
In my apartment | ||||||
Play & exercise: |
A LOT – again, there is a dog park in my apartment, and I'll go out to play with him/her at least 1-2 time s aday! | ||||||
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: |
I live in an apartment but there is a dog park right behind my apartment! | ||||||
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? |
Hyo Jae Park | ||||||
Willing to train children? |
I do not have a child yet – but of course when I have one in the future. Animals are part of the family. The education is necessary and required. | ||||||
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} |