Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/09/2021 | 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: |
Male, Either a Male or a Female | Color preferred: |
Black Headed Tri, Sable & White, Any color | Activity level: |
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? |
Myself | ||||||
Why do you want a Pembroke? |
Corgis have always been my favorite breed. Loving in the city, a small dog is ideal for manageability while also still being a breed that would enjoy a long walk and playing at the park. I’ve grown up with a range of dog breeds for my entire life, never a corgi, and love the company and challenge being a dog parent. I love learning and problem solving and would be enthused to learn the most that I can about corgis. My main priority is always giving my pets the happiest life possible. | ||||||
Activities planned with Pembroke: |
Walks around town, through parks. Swims. Play dates with pups of friends and family. | ||||||
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: |
Depending on the mistake, I would take the time to retrain while doing the best I could to instill that a mistake was made. Something minor, like excessive barking, I would try to teach speaking as a trick with treats so they might think it’s a worth while reward only on command. In the case of something worse, like aggressiveness, I would turn to professional training but in any scenario I would attempt to have incentives to encourage good behavior. | ||||||
Discipline: |
I would treat train initially to instill the right behavior. I try to compromise as much as possible. If there’s problems with chewing things that aren’t for them, I would buy more toys and playfully taunt them so they’re encouraged to chew toys. If there are house breaking problems, I would add extra walks to our schedule or modify feeding times or water availability. I would try to teach anything that’s needed through positive reinforcement or negative punishment. The last thing I would ever want is for a pet of mine to be frightful at all. | ||||||
Where would Pembroke spend the majority of the time: |
At home. I work 9-5 during the week but would make sure to be around for at least 3 walks a day and as many weekend outings as possible. | ||||||
Discipline: |
I would treat train initially to instill the right behavior. I try to compromise as much as possible. If there’s problems with chewing things that aren’t for them, I would buy more toys and playfully taunt them so they’re encouraged to chew toys. If there are house breaking problems, I would add extra walks to our schedule or modify feeding times or water availability. I would try to teach anything that’s needed through positive reinforcement or negative punishment. The last thing I would ever want is for a pet of mine to be frightful at all. Where would Pembroke spend the majority of the time: At home. I work 9-5 during the week but would make sure to be around for at least 3 walks a day and as many weekend outings as possible. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
Home, in my kitchen | ||||||
Where would dog sleep: |
Next to my bed | ||||||
Play & exercise: |
At least 3 walks a day. Walks to the park where we could play fetch or just run around. Summer time trips to the dog beach. Playing with the other dogs at home during the day. | ||||||
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: |
Live with family | ||||||
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: |
There’s a small dog run in the back of our apartment. Our area is also filled with parks. | ||||||
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? |
Griffin Lott | ||||||
Willing to train children? |
Yes | ||||||
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} |