Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 07/15/2020 | Referred by: | Website, Other | ||
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, 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? |
This Pembroke is for Kyle Crandell and the housemates he lives with | ||||||
Why do you want a Pembroke? |
When I was a kid, I owned a dog for a few years and haved dreamed of owning a dog now as an adult. The Pembroke Welsh Corgi has especially caught my eye in the last few years and now I would swear is one of the most adorable breeds out there. To me, they radiate joy and happiness. That is the kind of dog I want to own/adopt! Their "fluffiness" is something I love to think about too. Owning a Pembroke Welsh Corgi that is full of smiles, joy, happiness and cuddles seems like a dream come true to me.
The only experince I have with Pembroke Welsh Corgi breed is through friends and that is mostly knowledge. However, for enjoyment, I look up Corgi videos because why not? There are amazing! This extreme enjoyment has led me to do actual research on the breed as a whole and what not. Even though the Pembroke Welsh Corgi and like breeds are high maintence, I am still fascinated by them. |
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Activities planned with Pembroke: |
I am active person myself and would love to share energetic activities with said Corgi. This includes playing fetch, frisbee, walking, runnning (if able), playing at home and sharing said Corgi with others and letting dog share their smiles, joy and happiness with others. | ||||||
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 see if the dog would own up to said mistake and tell the Pembroke that what he or she did was wrong. I would clean up and take care of said mistake and ask Pembroke to not do again. | ||||||
Discipline: |
Using a crate "time out space/corner" Constructive criticism |
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Where would Pembroke spend the majority of the time: |
I would say in the house and/or in my room; I have big and wide room. But when not on routine walks. | ||||||
Discipline: |
Using a crate "time out space/corner" Constructive criticism Where would Pembroke spend the majority of the time: I would say in the house and/or in my room; I have big and wide room. But when not on routine walks. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, there are multiple people home during the day | ||||||
Where would dog eat? |
In the basement. There is a full kitchen and bathroom in the basement if that makes a difference. | ||||||
Where would dog sleep: |
When able, I would prefer him or her to sleep with me in my room which rather spacious. But is free to sleep anywhere in the house | ||||||
Play & exercise: |
There is space in the backyard to play. But I would bring my corgi to a park that I live nearby and the other parks I have access to within the city I live in. Also, playing inside and with toys with in means/reason |
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How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
I have a fence that covers the perimeter of the backyard area. The perimeter is a chain linked fence. | ||||||
Living arrangements: |
Own 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? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Front of the house is an open lawn in front of the sidewalk/street. Backyard is a rectanglar yard. There is a chained and locked chicken coop in front of the city alleyway garage. Pretty simple | ||||||
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? |
Kyle Crandell | ||||||
Willing to train children? |
Yes I am willing (when I have a child) | ||||||
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? |
Yes I am willing to try any resolve any problems that arise. | ||||||
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} |