Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 01/16/2022 | Referred by: | Friend | ||
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, 3 years – 5 years | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
We currently live in a multi-unit building with other dogs. We would prefer this dog to be friendly towards other dogs and animals. We like to go on one-day road trips and parks to walk outside/hike and would like our newest member to be able to come with an enjoy life to the fullest. | ||||||
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? |
A young couple who wants to give a dog in need their forever home. We currently have two African Grey Parrots whom we adore and have more love to give. We both had dogs and other pets growing up and know the love, respect, and patience needed when working with any animal and are willing to give this dog all our love. | ||||||
Why do you want a Pembroke? |
We have both loved the breed for many years and have always wanted one. This breed is very intelligent and easy-going and gets along with most people and other animals. We have purchased a few books on the breed and are doing our research.
We have learned that this breed sheds quite a bit, but that is ok with us since we run the vacuum every other day due to our parrots making messes in and outside their cages. |
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Activities planned with Pembroke: |
On a daily basis we would take our Pembroke for walks during the day, play with him, train him and relax on the couch in the evenings. We would also like to be able to take this dog on car rides to outdoor parks for walks/hikes. Would also enjoy a dog who likes to play fetch and other games. We have also done some research regarding interactive and mentally stimulating activities to prevent the dog from getting bored. | ||||||
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: |
We already have a parrot who likes to be out of her cage and fly around the apartment. In order to make sure that she doesn't cause too much trouble we keep the apartment clean and organized at all times. Removing possible problem things (like computer cords or tv remotes) from the dog's reach will help alleviate some potential issues. We will also plan to use positive reinforcement and professional dog training classes to help us learn best how to handle mistakes that may happen. We will set boundaries with the dog, such as the dog sitting in his bed (or a different room) when we are eating dinner to prevent the dog from learning begging and food aggressive behaviors. | ||||||
Discipline: |
We will practice using positive reinforcement and have established boundaries and words. If the dog plays too rough and is learning boundaries we will have words and phrases that we will teach to train the dog to stop. We will practice redirecting any bad behavior that we want corrected. We will both be consistent in said behavior and correction timing. | ||||||
Where would Pembroke spend the majority of the time: |
Our Pembroke would spend most of the time in our apartment including the living room, kitchen, and the bedroom. We live on the first floor, so it is very easy to get outside and out for a walk whenever needed. If we are not home, we will put the dog in a crate or pen. | ||||||
Discipline: |
We will practice using positive reinforcement and have established boundaries and words. If the dog plays too rough and is learning boundaries we will have words and phrases that we will teach to train the dog to stop. We will practice redirecting any bad behavior that we want corrected. We will both be consistent in said behavior and correction timing. Where would Pembroke spend the majority of the time: Our Pembroke would spend most of the time in our apartment including the living room, kitchen, and the bedroom. We live on the first floor, so it is very easy to get outside and out for a walk whenever needed. If we are not home, we will put the dog in a crate or pen. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. We both work from home. | ||||||
Where would dog eat? |
Our adopted corgi would eat in the kitchen from an elevated dog bowl to ease with digestion. We also plan to purchase a slow-feeder dog bowl if needed. | ||||||
Where would dog sleep: |
The dog would either sleep in a dog bed or will sleep in the crate, if crate trained.
We will allow the dog on the couch and also get him his own dog beds. |
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Play & exercise: |
We both have time in the mornings, afternoons, and evenings to take the dog for a walk and play with him. Additionally, there are multiple dog parks (such as the Spring Avenue dog park and the East Branch Off-Lease dog park) nearby (just a quick 5-10 minute drive). We also live near the Great Western trail, which goes a few miles in each direction. There are also a few nature preserves in the area to visit. We can easily switch up all the locations to take the dog too so he doesn't get bored of the same trails or areas. | ||||||
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: |
Apartment | ||||||
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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
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? |
Heather Smith | ||||||
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? |
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. We will train all animals accordingly to get along as best as possible and not leave them together unsupervised. | ||||||
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, [email protected], friend.:87} |