| Date & Referral Source | |||||||
| State: | Date of Application: | 07/11/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| 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, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic, Other (Please describe in the box below.) |
Other preferences: |
Ever since I was a child my family has taken in rescues. I understand that they may have special needs and I am understanding of that. | ||||||
| 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 would be for me. | ||||||
Why do you want a Pembroke? |
My best friends have a corgi and that is how I was introduced to the breed. I have done my research on corgis as well. I love the playful personality, and how friendly and social they can be. I also would never consider a dog that would weigh 50 lbs or more so a corgi is the ideal size. As far as shedding goes, I am also prepared and aware that I’ll be needing to vacuum often. | ||||||
Activities planned with Pembroke: |
I live right on the lake shire and on the park. I’m an active person and would take the corgi with me everywhere. Mostly to the park but since I live in such a safe and walkable neighborhood, where dogs are typically catered to, I’d bring my corgi around to meet the neighbors. | ||||||
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? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
Assuming the corgi has had proper training, I would first sternly say no so the dog is immediately notified that the action was wrong, and I’d use this to get his attention. I would never hit a dog. | ||||||
Discipline: |
To discipline the time out method seems to work best with dogs that love to be social. A timeout for about 20 seconds in the bathroom with the door shut. | ||||||
Where would Pembroke spend the majority of the time: |
Mostly with me, and I’m outside a lot, or in my place. But if I can’t always be there then I’d have plenty of neighbors who love dogs and would be willing to help out. | ||||||
Discipline: |
To discipline the time out method seems to work best with dogs that love to be social. A timeout for about 20 seconds in the bathroom with the door shut. Where would Pembroke spend the majority of the time: Mostly with me, and I’m outside a lot, or in my place. But if I can’t always be there then I’d have plenty of neighbors who love dogs and would be willing to help out. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I live in a condo where everyone loves dogs. We have a big dog community here and everyone helps out. I currently can work for home but if I had to be out of the house for all day I certainly could have a friend or neighbor take the dog until I get home. |
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Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
In a dog crate by my bed. | ||||||
Play & exercise: |
We’d go to the park to play and socialize, long walks on lake shore. I am a runner/jogger, depending on the corgi I may see if it does well going on jogs/runs with me. | ||||||
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: |
Rent condo | ||||||
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? |
Yes | ||||||
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Description of yard: |
N/A | ||||||
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? |
Sarah Saulnier | ||||||
Willing to train children? |
N/A | ||||||
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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? |
N/A
But whatever issues arise I’m willing to work with them. |
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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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