| Date & Referral Source | |||||||
| State: | Date of Application: | 06/19/2018 | 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: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
work with professional trainer fenced yard experienced with a corgi |
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| 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? |
This Pembroke is for me. Recently I had to have Eliza, (the Amazing Wonderdog) euthanized. What i had thought was arthritis was spinal myelopathy. She was also being treated for Cushings disease by a local vet with frequent consultations of a veterinary endocrinologist. At 9 1/2, under treatment for the disorder for 2 years, she was doing well. With the Cushing's diagnosis I promised both of us I would do everything I could do to maintain her health and that I would not let her suffer. Eliza was my companion and service dog for my hearing loss. She was interesting, frustrating, and sometimes even sweet. Every day she made me laugh. I'm looking for my next dog. I would LOVE if that could be a corgi! They are so smart, clever, sassy, curious, bossy, and did I mention cute? Lying on their backs with their tongues lolling, staring down their noses at you when you won't share your chips. I have never not had a dog that I didn't love, but neither have ever had a dog I loved like I loved my corgi. I have looked at puppies on line, but felt this time I wanted to rescue a corgi someone else didn't want. I worked with an excellent dog psychologist/ trainer/ vet tech with Eliza because she was very bitey. This trainer also worked with us to certify her as a service dog. She flew cross country with me when I visited West Coast family and she was all business except for a lapse in Chili's when there were crumbs on the floor. I would expect to work this trainer again. Although it is down now, I will have my PetSafe in-ground fence replaced for my new dog. He or she will have walks, and a large fenced area. I would like you to consider me for one of your rescued corgis. |
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Why do you want a Pembroke? |
Corgis are loaded with personality Intelligent "Will work for food" Friendly Silly |
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Activities planned with Pembroke: |
Walking Playing in water (my previous corgi dived completely under to bring up tossed rocks), swimming Catch, fetch, hide and go seek, tug of war, run-run-crazy- puppy Grooming Petting, rubbing ears |
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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: |
It depends on the mistake. I would get its attention by tossing a few training treats with the command 'find it!" Then i would repeat the command or lesson rewarding positive response. | ||||||
Discipline: |
Repeat the command, wait for response–reward Turn my back, refuse to play Try to keep need to discipline minimal |
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Where would Pembroke spend the majority of the time: |
In a chair or couch in the living room In his or her bed beside In the yard or on the porch |
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Discipline: |
Repeat the command, wait for response–reward Turn my back, refuse to play Try to keep need to discipline minimal Where would Pembroke spend the majority of the time: In a chair or couch in the living room In his or her bed beside In the yard or on the porch |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. | ||||||
Where would dog eat? |
Whatever the trainer/vet tech recommended Eliza ate non=caged fowl Arcana |
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Where would dog sleep: |
Where it wanted, hopefully in its bed in my bedroom. | ||||||
Play & exercise: |
If Eliza was typical there's no way you DON'T play with a corgi. She often brought toys, especially tug toys that she'd shove under my foot if I didn't grab it with my hands. We'd walk 2x a day Play ball |
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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? |
Maybe I should have said not because it's not working. I have PetSafe equipment for invisible fencing and will have the wiring re-done. | ||||||
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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
.6 acres with mature trees, and flower beds. Close to 1/4 is protected by in-ground fencing. wading pool if dog likes it |
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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? |
Penelope A whitford | ||||||
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? |
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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? |
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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