| Date & Referral Source | |||||||
| State: | Date of Application: | 05/15/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
We are also happy to adopt a corgi that isn't full bred…. We really enjoy the Corgi personality, but since showing and/or breeding is not on our agenda, having 'papers' isn't important to us. Corgi's have been part of our lives for over 20 years, and since we only currently have one, we are ready and able to bring another one into our home. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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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? |
For us, to be a part of our family. | ||||||
Why do you want a Pembroke? |
Corgi's have been part of our lives for over 20 years, and since we only currently have one, we are ready and able to bring another one into our home. All our Corgi's have had different personalities. Generally they have all been quite loving towards others, and we love that about them. 2 have been able to be therapy dogs, in different settings. | ||||||
Activities planned with Pembroke: |
We enjoy walking outside, and including our dogs in that. When taking a vacation, we sometimes look for places to go that we can bring them along, including (but not limited to) camping. Since I am not working as much now, I would like to use some of my extra time exploring the option of therapy dog activities, IF and when the dog is a fit for it. If therapy doesn't seem a good fit, maybe agility for fun. (I've done both with different dogs we have had) | ||||||
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: |
Guide him/her to correct behavior. Positive reward for positive behavior. | ||||||
Discipline: |
Positive reward (treat, attention, favorite toy) for desired behavior. | ||||||
Where would Pembroke spend the majority of the time: |
With us. | ||||||
Discipline: |
Positive reward (treat, attention, favorite toy) for desired behavior. Where would Pembroke spend the majority of the time: With us. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. I work 16-20 hours per week. Steve works full time. | ||||||
Where would dog eat? |
kitchen or dining room | ||||||
Where would dog sleep: |
Our bedroom. Crate or bed, depending on the needs of the dog. | ||||||
Play & exercise: |
We take leashed walks a few times per week, go to nearby dog beach occasionally, and play games in our own yard on weekends. | ||||||
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 is a 6 foot stockade fence. There is a 3 foot fence separating the backyard from driveway. | ||||||
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: |
As stated in previous question, 6 foot fence around yard, shed in corner that is closed all the time. Fire pit. (never unsupervised) 2 decks off back of dining room. | ||||||
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? |
Kate | ||||||
Willing to train children? |
I don't have children in the home anymore. | ||||||
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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. We have worked through numerous strategies in the past with our own dogs as well as neighbor's dog and in law's dogs (they are all dog owners too) to ensure that we can all enjoy activities together and dogs can become friends. We have a lot of practice with this. | ||||||
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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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