Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 03/24/2022 | Referred by: | Other | ||
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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Quiet, Playful, Energetic |
Other preferences: |
No yard, but I do live on first floor. | ||||||
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? |
Me, Emily | ||||||
Why do you want a Pembroke? |
I absolutely love dogs in general and love corgis. I think they’re adorable. I like that they are sassy and goofy. I’ve grown up with dogs my whole life. No direct corgi experience. I grew up/ helped train a cattle husky dog. I know corgis are herding dog. | ||||||
Activities planned with Pembroke: |
I have about a two mile walk way by my apartment. I think training is always a good idea so probably classes. My sister lives 8 min from me and has a yard, so we would visit them. Lots of toys and belly rubs/butt patts. I also like to do games like hide and seek with treats. | ||||||
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 it happens while I’m not home fix the mistake or cleanup. If it actively happens while I’m around I would discourage with commands the behavior. Try to redirect whatever it may be. If I can’t figure it out I would consult a dog trainer. | ||||||
Discipline: |
Words but I believe a tired dog is a happy dog. I’m open to what a professional says. Never physical discipline, never. | ||||||
Where would Pembroke spend the majority of the time: |
My apartment, it’s 1st floor corner unit and only neighbor above me . | ||||||
Discipline: |
Words but I believe a tired dog is a happy dog. I’m open to what a professional says. Never physical discipline, never. Where would Pembroke spend the majority of the time: My apartment, it’s 1st floor corner unit and only neighbor above me . |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, unless there is maintenance but they give notice of entry unless emergency. | ||||||
Where would dog eat? |
In the dining room | ||||||
Where would dog sleep: |
Honestly where ever they want. I would have a dog bed but I know dogs nap and sleep where ever. | ||||||
Play & exercise: |
A walk everyday. Park plays, I like long leads and fields so the dog can run supervised. Toys and games like hide and seek. I often will play with my dogs(if they want) while I watch tv at night. Sister had a yard that will be fenced by summer to free run around. I visits them anywhere from once to a couple times a week. I would bring the pup along. | ||||||
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 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? |
Yes | ||||||
Description of yard: |
No yard, there is a gated pool on premise. | ||||||
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? |
Me-Emily | ||||||
Willing to train children? |
I have no children but I do have a nephew. We are actively training him to pet nicely and dog cues. It is going well so far. Dogs are never alone with the any children. | ||||||
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? |
Absolutely | ||||||
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} |