Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 06/13/2020 | 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, 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: |
I am a big dog lover, but could never adopt a dog growing up because of my parent's dog allergies. I have taken care of numerous dogs for friends and family and am looking to expand my family now that I have graduated from college with a job. | ||||||
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 is for myself. | ||||||
Why do you want a Pembroke? |
For many years now, I have been attracted to the cute nature of the Pembroke Welsh Corgi. I believe that its smaller size make it the perfect dog to live with me in an apartment, but its high energy and temperament make it perfect to keep up with my active lifestyle. I love the breed's outgoing nature and intellect. As someone who wants a dog that would like to participate in games and activities, I believe the Pembroke Welsh Corgi is the perfect dog for me. I have had no prior experience with the breed except for extensive research on best ways to get the Corgi entertained, best forms of exercise and activity, how to maintain a Corgi in an apartment, and lastly how to train a Corgi. | ||||||
Activities planned with Pembroke: |
Since I live in Colorado, the kinds of activities I would love to do with my Pembroke would be hiking, going swimming, going on long walks, playing in the dog park, playing fetch, taking the dog on bike rides when possible, and other fun games we can play together. | ||||||
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: |
If the Corgi has made a mistake I would calmly but firmly say "No" and make a clearly disappointed face. This is to show the dog that their behavior is wrong and not to do it again. This may take several times until the dog is fully trained. | ||||||
Discipline: |
The methods of discipline I would use are using my voice to show the dog that they have made a mistake, time-outs, and not giving attention to the dog when they behave badly. | ||||||
Where would Pembroke spend the majority of the time: |
My Pembroke would spend most of their time in my apartment. | ||||||
Discipline: |
The methods of discipline I would use are using my voice to show the dog that they have made a mistake, time-outs, and not giving attention to the dog when they behave badly. Where would Pembroke spend the majority of the time: My Pembroke would spend most of their time in my apartment. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Due to my work schedule, I am working mostly from home and will be present during the day. | ||||||
Where would dog eat? |
The Corgi would have their feeding bowl in the kitchen. | ||||||
Where would dog sleep: |
The Corgi would sleep in the spare bedroom in my apartment. | ||||||
Play & exercise: |
I will wake up before work to take the Corgi on a walk. I would also find toys to keep the dog active and distracted. Lastly, I would take the dog on a second walk after work and play outdoors to get rid of any excess energy. | ||||||
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: |
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? |
Alexandra Ferguson | ||||||
Willing to train children? |
I do not have kids | ||||||
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? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
I am very willing to resolve any problems that may come up in the future. | ||||||
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} |