Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 08/05/2021 | 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: |
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, Playful |
Other preferences: |
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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? |
Yasmeen & Cesar | ||||||
Why do you want a Pembroke? |
We are interested in adopting a Pembroke Welsh Corgi because they would be the perfect addition to our family. We currently live in a smaller place, an apartment that is part of a family-owned building, so we took dog size into consideration. Based on the research we've done on temperament of dogs, Corgis fun, spunky, and larger-than-their-size personalities felt like the perfect match for us. Our previous neighbor owns a Corgi who we've enjoyed playing with and watching her playful attitude to our neighbors. Yasmeen's current supervisor also owns a Corgi, who recommends the breed as well. | ||||||
Activities planned with Pembroke: |
The both of us want to live a more active lifestyle, especially given the amount of time we've spent at home because of the pandemic. We plan on taking our dog on frequent walks, playing in our backyard, and car rides to tag along with us when we go on our city-wide adventures. We will also play fetch, tug a war, and provide lots of fun stimulation to our dog. We plan to teach our dog to communicate with us via pre-recorded buttons (examples like eat, outside, hi). Above all else, we look forward to the cuddles, pets, and snuggles we will surely shower our dog with. | ||||||
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: |
The correction will depend on the mistake. If the mistake is related to chewing or destructive tendencies, we will correct by offering our dog an alternative, safer item to chew on or play with. If the dog tries to get into things like food or clothing that might not be safe for them, then we will focus more on updating our space to be "dog-proof" We plan to be consistent in our handling of behavior related issues because consistency is key to preventing mistakes, though we will handle them with patience when they do happen. | ||||||
Discipline: |
Consistency and tone are important for discipline with any pet. We will correct any unwanted behaviors by consistently correcting them in a tone that will show our seriousness. We plan to train our dog, both through classes and self training where we will without a doubt learn more tools to help address any problematic behavior. We would like to crate train, both to correct behavior but also to provide our dog with a space they feel safe and calm in. Potty training is also important to us in the event our dog needs to be alone for extended periods of time. | ||||||
Where would Pembroke spend the majority of the time: |
In our home with us. It's on the smaller side, so they will have access to the entire space, so it really depends where they choose to be! | ||||||
Discipline: |
Consistency and tone are important for discipline with any pet. We will correct any unwanted behaviors by consistently correcting them in a tone that will show our seriousness. We plan to train our dog, both through classes and self training where we will without a doubt learn more tools to help address any problematic behavior. We would like to crate train, both to correct behavior but also to provide our dog with a space they feel safe and calm in. Potty training is also important to us in the event our dog needs to be alone for extended periods of time. Where would Pembroke spend the majority of the time: In our home with us. It's on the smaller side, so they will have access to the entire space, so it really depends where they choose to be! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
In our kitchen | ||||||
Where would dog sleep: |
Either in their crate or with us, depending on what they prefer. | ||||||
Play & exercise: |
We will take them on walks daily and play in the backyard we have as well. On the weekends we will explore the city together as long as they are comfortable in cars. We will also play in the house with stimulating games. | ||||||
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? |
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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: |
Concrete with a basketball hoop and an area for dog relief (my sister-landlord owns two dogs currently). | ||||||
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? |
Yasmeen Jasnica | ||||||
Willing to train children? |
No children currently with no plans in the future, but 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? |
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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 resolve the problem. | ||||||
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} |