Untitled_1876

State: Date of Application: 06/14/2018 Referred by: Website
First name: Last name: First name 2: Last name 2:
Street:
City: State: Zip:

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 just lost our Corgi this weekend. He was 14 1/2 years old. He died on Sunday. Therefore, this is why I chose the age category that I did. We would like an adult Corgi anywhere between 1 and 5 years old. Not up to taking care of a senior Corgi for right now. Coco (was his name) was such a good boy. He was from a shelter 12 years ago. Coco was a Corgi/Retriever mix or Corgi/ Long Haired Dachshund. His vets could not agree on which combo. He was so well behaved, that in his honor we would like to adopt another Corgi that needs a home. We miss him so much. But were are ready to give another Corgi and home. Coco would have wanted that. Thank you.

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?

Who is this dog for?

He or she would be for my husband and I. Also, for my 24 year old daughter who is home on weekends from college.

Why do you want a Pembroke?
As I explained on the previous page, our Corgi mix just passed away. We are ready to give another Corgi a loving home. I have never had a corgi before him, but he was so well behaved and kind. In his honor, we would love to give a new corgi a home. Yes, I know corgis are stubborn sometimes. They are very protective, voice their opinion often, active but very kind. I did a lot of research on Corgis before we got our Corgi mix 12 years ago (that just passed away). And yes, he could be a firecracker at times.

Activities planned with Pembroke:
We would take he or she to the park, the dog park, on walks and play with them in our big back yard. Play with toys also and car rides. What ever they required.

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:
First I would tell him or her that it was okay, things happen. I would do this as long as he or she did not do the mistake purposely For example, our senior Corgi, before he died, accidentally went to the bathroom in the house (not his fault, he never does this). We petted him and told him it was okay. Then we cleaned it up (husband and I). We are pet lovers.

Discipline:
A firm no, time out and take his toys away for awhile. Absolutely no yelling or hitting.


Where would Pembroke spend the majority of the time:
With Diane. I am home weekdays and week nights. I work weekends. Oscar, husband, has 9 to 5 job and is home every night. He is home on weekends also. So, there would never be a time where a Corgi would be left for a long time. He or she could be outside in the fenced yard (when the weather is warm enough), on the deck, in the house, on the couch. Where ever this dog felt the most comfortable. A crate if that is where he or she is comfortable. I have had dogs since I was 9 years old. I love them.

Discipline:
A firm no, time out and take his toys away for awhile. Absolutely no yelling or hitting.
Where would Pembroke spend the majority of the time: With Diane. I am home weekdays and week nights. I work weekends. Oscar, husband, has 9 to 5 job and is home every night. He is home on weekends also. So, there would never be a time where a Corgi would be left for a long time. He or she could be outside in the fenced yard (when the weather is warm enough), on the deck, in the house, on the couch. Where ever this dog felt the most comfortable. A crate if that is where he or she is comfortable. I have had dogs since I was 9 years old. I love them.

House dog or outside dog?

House dog

People at home during the day?
Yes, Diane is home during the day.

Where would dog eat?
In the kitchen, with a water bowl and a food bowl.

Where would dog sleep:
In an area where he or she feels safe. That is most important. Weather it be a kennel, in our bedroom, etc.

Play & exercise:
Very large yard to play in, Taking him or her on walks, to the dog park (we get annual passes) to the regular park, car rides, etc. My husband is an early riser. So he was with our previous dog at the dog park by 8am on the weekends. I would take him there at different times on other days.

How will you exercise your dog?
On leash

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?
He or she would not need to be restrained in the yard. It is a tall cedar wood fence that covers the whole back yard. Big back yard.

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:

Nothing but lawn and trees and a medium size deck. The deck has slates all around it and 4 stairs so that no one could fall.

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?
Diane and Oscar Snyder

Willing to train children?
We do not have any small children, but we would be very responsible with our dog around children. We had to be. Our senior Corgi was going blind and deaf before he passed.

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?
Should not be a problem, they are fish in an aquarium. The Corgi could not reach the tank.

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: