| Date & Referral Source | |||||||
| State: | Date of Application: | 04/24/2018 | 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing |
Other preferences: |
We have a large fenced yard. We have had 3 corgis in the last 20 years. Since we're retired, we have plenty of time to care for and love dogs. | ||||||
| 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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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? |
Sara Morris | ||||||
Why do you want a Pembroke? |
We have raised 3 Corgis. We love corgis and their delightful disposition. Since our last corgi died, it's been lonely and something is just not right around here. We have always had dogs and miss having one here. | ||||||
Activities planned with Pembroke: |
Walks, ball chase, cuddling. | ||||||
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 taught kindergarten, so this comes pretty naturally. Say dogs name at the time of the incident, show what should have been done. | ||||||
Discipline: |
Never physical discipline, saying dogs name at the time of the mistake, showing what should be done. Repetition is necessary, perhaps many times. Love is never withheld as a punishment. | ||||||
Where would Pembroke spend the majority of the time: |
In our home, about equally outside in our yard or on walks. | ||||||
Discipline: |
Never physical discipline, saying dogs name at the time of the mistake, showing what should be done. Repetition is necessary, perhaps many times. Love is never withheld as a punishment. Where would Pembroke spend the majority of the time: In our home, about equally outside in our yard or on walks. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. One of us is here nearly all the time. Sundays, we gone for an hour of church. | ||||||
Where would dog eat? |
In our kitchen | ||||||
Where would dog sleep: |
After housebreaking is complete, our dog would stay in his/her bed in our home. | ||||||
Play & exercise: |
daily both outside and in -Ball or toy chase was always enjoyable for our other dogs. The dog would also get to play with our daughter's and son's dogs. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
It's a 4-foot cedar around our entire back yard, which is pretty large. | ||||||
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 have grass and mulched areas. We do not any water features. | ||||||
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? |
Denny and Sara Morris. We share the duties. | ||||||
Willing to train children? |
N/A | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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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? |
We have no others, but would handle it with visiting pet friends. | ||||||
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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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