Date & Referral Source | |||||||
State: | Date of Application: | 02/04/2018 | Referred by: | Friend | |||
Contact Information | |||||||
First name: | Last name: | First name 2: | Last name 2: | ||||
Address | |||||||
Street: | |||||||
City: | State: | Zip: | |||||
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, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
I indicated either gender would be acceptable, but should note that a male might be more likely to get along well with our female Shiba Inu. In any case, a new dog should not be accustomed to being the dominant dog with others in it's previous household. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? | |||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
Susan & Norman Friedrich and family. Three of our children are in their 20's and still not settled into their own homes so are part of the household off and on. | ||||||
Why do you want a Pembroke? |
We do love dogs, and our corgis have been wonderful. They are quick learners, eager to please, and such characters! We do obedience training with all our dogs, and corgis do very well. Our current corgi used to love agility when he was younger. We have also successfully raised three litters of corgi puppies. Our current corgi is from one of those litters. He will be 15 years old this spring and his health is getting more frail. | ||||||
Activities planned with Pembroke: |
Hanging out with our family, going on hikes, playing, obedience training, even as a "demo" dog for the 4-H kids I work with in training their dogs. He/she would also be a companion to our female shiba (so a very dominant personality would not be the best choice for us, as shibas have pretty dominant natures). Our Norwegian Elkhound is not home all the time, as he goes back and forth to school with one of our sons. | ||||||
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 |
||||||
Do you have a veterinarian? |
Yes | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
You can only sucessfully correct in the midst of misbehavior. A verbal 'no' is usually appropriate. Expressing verbal dismay with a 'no" or 'bad dog' is usually sufficient to correct a corgi because they want to please their people. Depending on the situation, I may remove the dog from the problem setting. If on lead, a correction can be made using the leash and collar. | ||||||
Discipline: |
I use corrections as described above. | ||||||
Where would Pembroke spend the majority of the time: |
We have a fenced in yard with two dog houses in it. Our dogs spend time both inside and outside. We feed them in the house twice a day, with each dog getting their own food and an appropriate quantity. | ||||||
Discipline: |
I use corrections as described above. Where would Pembroke spend the majority of the time: We have a fenced in yard with two dog houses in it. Our dogs spend time both inside and outside. We feed them in the house twice a day, with each dog getting their own food and an appropriate quantity. |
||||||
House dog or outside dog? |
Outside dog | ||||||
People at home during the day? |
Three adults live full-time at our house now. On an average day with our work schedules, there is very little time that no one is at home. | ||||||
Where would dog eat? |
In the house. | ||||||
Where would dog sleep: |
Outside in good weather, inside when it is cold (or for any other reason as seems best). | ||||||
Play & exercise: |
Having a house yard with a very active dog companion is great for ongoing exercise. Toys are available (our shiba loves to chase balls). We live on an acreage and the dogs can come out of the fenced area when we are with them. We also go like to take the dogs with us on walks. Obedience and agility training are also good challenges for our dogs. | ||||||
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? |
A combination of woven wire and chain link. | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
No swimming pools. A swing set, patio furniture, some flower beds/plantings, trees, grass.. We have more than one dog house in the yard, with one being in a wood framed kennel that can be used to contain dogs if we need them to be in a smaller space while outside in the yard. | ||||||
Household members: |
|||||||
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? |
Susan | ||||||
Willing to train children? |
Yes. Any child who comes into contact with our animals is taught how to treat them respectfully and appropriately. | ||||||
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
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? |
We have never felt the need to find another home for a pet because of it not getting along with another pet. As noted earlier, I think it is important that any new dog coming into our household not have a particularly dominant personality. | ||||||
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: |