| Date & Referral Source | |||||||
| State: | Date of Application: | 07/02/2018 | 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: |
3 years – 5 years, 5 years – 10 years, 10 years + | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
|||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Myself. | ||||||
Why do you want a Pembroke? |
I have experience with a lot of dogs – I grew up with a Bernese Mountain Dog and a Golden Retriever. I also volunteered at the Dane county humane society. I love dogs with personality. I dog sat for a Corgi a few years ago and what I loved was how their personality was SO much bigger than their bodies. With a Bernese it makes sense that they have a big personality because they are huge. It fascinated me with a Corgi how they were so little but such a huge personality. I've research training and care for a Corgi, and other small dogs especially how it relates to apartment living. | ||||||
Activities planned with Pembroke: |
The three main thing would be walks, dog parks, and hanging out with my friends who also have (very nice!) dogs. I live very close to a nature preserve which would make for interesting walks. The Madison WI area is very dog friendly, and there are a number of dog parks to go to. I also am an avid photographer, so taking a companion along would be great. | ||||||
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? |
No | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
It depends. If it happens when I'm away there isn't much to do because they likely have no memory, or wouldn't be able to be trained from it. When I have worked with dogs in the past I use stern, firm, but not hostile commands to work with training dogs, and combined with treat rewards it works well | ||||||
Discipline: |
Treat reward/repetition are the best ways I've found to train a dog to commands. Praise is, in my opinion, the best reward for house training a dog. Stern but not hostile "No" has worked the best for me in getting dogs to stop a negative behavior. | ||||||
Where would Pembroke spend the majority of the time: |
My apartment, walks, dog parks, or friends' yards. If they like car rides, we can do that too. | ||||||
Discipline: |
Treat reward/repetition are the best ways I've found to train a dog to commands. Praise is, in my opinion, the best reward for house training a dog. Stern but not hostile "No" has worked the best for me in getting dogs to stop a negative behavior. Where would Pembroke spend the majority of the time: My apartment, walks, dog parks, or friends' yards. If they like car rides, we can do that too. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No; I do however live very close to work and there are a number of different doggy daycares if I go that route. | ||||||
Where would dog eat? |
Id have their bowls on the kitchen or dining room floor (those are the hard surface floors where I live – easier to clean). | ||||||
Where would dog sleep: |
I will either invest in a crate or purchase a dog mattress where they can sleep. | ||||||
Play & exercise: |
I play on taking them out for daily walks, weather permitted of course, for at least a half hour a day, but more like a hour. Play can be done at home too, and while the weather is good I'd want to take them to a dog park or a friends fenced in yard at least once every other week. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
|
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? |
|||||||
Living arrangements: |
Rent/lease home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
|
Description of yard: |
N/A | ||||||
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? |
Zach Eggers | ||||||
Willing to train children? |
I don't have kids, but my niece is great at interacting with my parents' dog – I will help teach her if she is hesitant about a Corgi. | ||||||
|
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? |
N/A | ||||||
|
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: |
|||||||