| Date & Referral Source | |||||||
| State: | Date of Application: | 06/14/2018 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Any color | Activity level: |
Playful, Energetic, Very Active |
Other preferences: |
We have 10 acres of cleared and wooded land in the UP of Michigan … lots of room to run and play. | ||||||
| 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 3 | |||||||
Dog 3 name: |
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Dog description: |
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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? |
Myself and my husband. | ||||||
Why do you want a Pembroke? |
Love the breed! Lived with the breed! We went through a very destructive period of puppy issues with our Finn and loved him thru it. He matured into a wonderful dog. I miss his barking (I know, really?), his ultra sensitivity to sounds, his cRaZy behavior, his water play/run and fetch … I just miss his face. | ||||||
Activities planned with Pembroke: |
Regular jogs and walks, kayaking, ball/Frisbee fetch, long & short car rides, I LOVE to dress them up for parades and events (kids LOVE them too!!). | ||||||
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: |
Mistake? Not possible! LOL! Depends on the issue, but discipline with love is always the best approach … same as children. There is usually a good reason something happened and it's best to approach each issue calmly and apply wisdom. | ||||||
Discipline: |
Tell them 'NO' … take them away from the situation and reinforce positive behavior. Like, if they chew something they shouldn't … remove them and give them an approved item for chewing. | ||||||
Where would Pembroke spend the majority of the time: |
Inside our home. | ||||||
Discipline: |
Tell them 'NO' … take them away from the situation and reinforce positive behavior. Like, if they chew something they shouldn't … remove them and give them an approved item for chewing. Where would Pembroke spend the majority of the time: Inside our home. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No but I only work part-time, I go home for lunch, and we have another older dog living in our home and two cats that are outside. | ||||||
Where would dog eat? |
In our kitchen. | ||||||
Where would dog sleep: |
Wherever they would want. We have dog beds available and would consider crating only if the dog is more comfortable and used to that. | ||||||
Play & exercise: |
See above answer regarding activity. Daily play available, jogging and or walks at least 5 times a week. Weekend activity would be more. | ||||||
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 own 10 acres of cleared and wooded property in the UP of Michigan. Beautiful land, lots of trees. We have a long driveway and have no need for fencing because our home is in a clearing with no close neighbors. | ||||||
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? |
Stacy Thompson (me) | ||||||
Willing to train children? |
No small children at home. I have an adult daughter with a infant and she is raising him with a dog in the home. | ||||||
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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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