| Date & Referral Source | |||||||
| State: | Date of Application: | 04/01/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years | Gender preferred: |
Male, Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
We have a 13 year old daughter and one other small dog. Other than that, we are a dog loving family who have always liked Corgi's but have never had one. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? |
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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Our family. We have one other rescue dog, a Shitzhu named Bella. We have always had dogs. We lost our Bassethound to cancer a couple of years ago and have really missed having a second dog. | ||||||
Why do you want a Pembroke? |
I have been familiar with the breed since my sister in law has had 3 of them. They have always been great family dogs. They can be head strong, but we have had hounds so we understand. I have done some research on the breed and nothing was a game changer. All dogs have personalities like people and some are just more bothersome than others. Our Shitzhu is adorable but she is yappy. All of our dogs have loved attention and we are happy to give it to them. | ||||||
Activities planned with Pembroke: |
We are an active family. We like to run and walk and our dog walks with us. My husband ran with our Golden, but the Bassets and the Shitzhu have not been running dogs. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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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: |
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Will handle mistakes Pembroke makes like this: |
I would clean it up and take the dog outside. I would also do a better job of watching the dog for clues. In addition, most of our dogs (all who have been rescued) have learned to ring the bells. | ||||||
Discipline: |
Saying, "No". | ||||||
Where would Pembroke spend the majority of the time: |
In our home. | ||||||
Discipline: |
Saying, "No". Where would Pembroke spend the majority of the time: In our home. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I have a flexible work schedule so I am in and out. | ||||||
Where would dog eat? |
In our kitchen. | ||||||
Where would dog sleep: |
On her/his bed in our bedroom | ||||||
Play & exercise: |
We have an athletic 13 year old and my husband and I walk daily. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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: |
Own home | ||||||
Landlord info: |
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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 | ||||||
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Description of yard: |
We live on a river but as you know Shitzhu's cannot swim. Our dog is always in a life vest whenever she is outside on the river side of the house and always when on the boat. Our Bassethounds didn't swim either. We have always been very conscientious about our dogs whereabouts because they didn't swim. | ||||||
Household members: |
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Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
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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? |
Michele | ||||||
Willing to train children? |
Yes | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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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 | ||||||
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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. | ||||||
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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: |
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