Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 01/09/2021 | 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: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
I am open to consider different young Corgis! I am looking to adopt a puppy which is why I wanted to go through this rescue. However, I would be open to a slightly older Corgi as well. | ||||||
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? |
Myself. | ||||||
Why do you want a Pembroke? |
I am a big dog lover! I have rescued two dogs in the past when I lived at home with my parents. Neither of them were specified as Corgi’s; however, we feel that our current dog may have some Corgi in him. I had a good friend who owned two Corgis growing up so I was always around the two of them and fell in love with the breed. I remember how their playful yet cuddly and sweet personalities. I also recently had a neighbor adopt a Corgi puppy this past summer. I would wait outside on my porch for when they went on walks so I could run over to say hi to the puppy. It always made my day as he was so playful and friendly with me. Seeing that puppy pretty much sold me on wanting a Corgi puppy of my own. When deciding what breed of dog I wanted to rescue I did a lot of research on which dogs had the nicest personalities (Corgis showed up high on almost every list ranking friendliness of dogs). | ||||||
Activities planned with Pembroke: |
I am looking for a dog I can play with outside at the park, take on frequent walks, and at the end of the day spend lots of time cuddling with. There are a lot of dog parks near me and I would love to be able to go there with my dog and spend hours having them play fetch and run around. | ||||||
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 my dog nipped, I would let him know that it’s not okay by redirecting the biting to a toy that is made to be chewed on.
Anytime he or she did something wrong, I would use my designate “time-out” area. |
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Discipline: |
I would designate a “time-out” area can be helpful to calm down my puppy or to passively punish him for doing something negative.
The rest I would learn from my training class 🙂 |
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Where would Pembroke spend the majority of the time: |
Home with my roommate and I. He or she would spend plenty of time indoors and outdoors as needed. I have many dog parks near my apartment that we would go to. | ||||||
Discipline: |
I would designate a “time-out” area can be helpful to calm down my puppy or to passively punish him for doing something negative.
The rest I would learn from my training class 🙂 |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. My roommate works from home full time and would be with him anytime I am not home. | ||||||
Where would dog eat? |
In the kitchen in his designated area. | ||||||
Where would dog sleep: |
In his dog bed next to mine. | ||||||
Play & exercise: |
My corgi would get frequent walks (every hour as a puppy) then once grown, at least five walks per day (with one in the middle being nice and long). I would take my Corgi to the dog park as well and let them play outside in our front yard. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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? |
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? |
Maggie Rapp | ||||||
Willing to train children? |
N/A | ||||||
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? |
Absolutely, If I ever had any other pets 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} |