Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 10/19/2020 | 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: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
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Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
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? |
My husband and I. | ||||||
Why do you want a Pembroke? |
I have a corgi girl now and I wanted to get her a brother for a while. And after researching the breed more and finding out how they end up in different homes, We decided to adopt this time. | ||||||
Activities planned with Pembroke: |
Run, throw balls at the park till shes nice and tired. Swimming at the lake during the summer, Play with toys at home. Play at work since I'm allowed to bring my dog to work at the pet store. She's gets puzzle games to keep her busy too. | ||||||
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? |
Yes | ||||||
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 show them what they did and make sure to not raise my voice because dogs don't understand yelling. Positive ways | ||||||
Discipline: |
I dona SHH sound when my corgi is doing something she's not suppose to and she's listen. Never hit a dog. I think she's so smart now that she understands my language because sometimes I just talk to her and she listens. | ||||||
Where would Pembroke spend the majority of the time: |
At home with me, or at work with me. If I have long shifts I have a trust worthy dog walker who comes to my store and walks my corgi just outside the grass for a while, and she loves him. If I know I'll be away from home for several hours my dog walker also comes to my apartment. But I'm almost always with my dog. | ||||||
Discipline: |
I dona SHH sound when my corgi is doing something she's not suppose to and she's listen. Never hit a dog. I think she's so smart now that she understands my language because sometimes I just talk to her and she listens. Where would Pembroke spend the majority of the time: At home with me, or at work with me. If I have long shifts I have a trust worthy dog walker who comes to my store and walks my corgi just outside the grass for a while, and she loves him. If I know I'll be away from home for several hours my dog walker also comes to my apartment. But I'm almost always with my dog. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Just me and. Y husband live together | ||||||
Where would dog eat? |
At work. In the kitchen. | ||||||
Where would dog sleep: |
In our bedroom. We will make sure they have a nice warm bed. We also have stairs up on our bed so they have the option to sleep with us if they like. Spoiled! | ||||||
Play & exercise: |
All the time. I'm with my current corgi everywhere I go and we go to parks, other pet stores and sometimes I'll visit my grandmother who has a huge FENCE backyard to play while I visit. I try to mAke sure they will have something to do and not stay bored for too long. | ||||||
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? |
No, you may not 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? |
Yes, the condo covenants do prevent me from owning a dog. | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
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? |
Rebecca | ||||||
Willing to train children? |
We don't have kids and won't plan on them for years. When we do, were adopting 5+age 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? |
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. | ||||||
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} |