| Date & Referral Source | |||||||
| State: | Date of Application: | 07/18/2018 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
I retired young so I have a lot of time for a dog. I have had multiple pets at the same time and my animals have lived a long time. I am aware of the vet bills for end of life care. I lost my beagle/terrier in January 2017. I decided not to get another dog until the 16.5 year old cat left me since she was a fragile diabetic with heart/ kidney issues and litter box issues. I did not want to stress her. I lost her this past Good Friday. | ||||||
| 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? |
me | ||||||
Why do you want a Pembroke? |
The size of the dog will be perfect for me. The personality of the pembroke seems to be quite cheerful and would fit in my lifestyle. I read that they need a gentle firm hand since they can take over the house and become the boss. The worst thing that a person can do a corgi is put him in the backyard or scold them harshly. I believe that a dog or cat is a member of the family and must be treated with honor and respect. The only experience I have with a corgi is a neighbor has one and he says that his dog is the best dog he ever owned. I have done research on the corgi. I read that some of the corgi's have the genetic disease DM, shed alot, and need to keep busy. | ||||||
Activities planned with Pembroke: |
I would take the pembroke to dog parks, walk in the neighborhood, and hike in the woods. | ||||||
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: |
I would scold them but I would not isolate them or use any physical punishment with them. | ||||||
Discipline: |
I have not had to discipline a dog for a long time but I found yelling or physical action at any animal does not gain anything. | ||||||
Where would Pembroke spend the majority of the time: |
When I am home they will be with me. I rarely go anyplace that I could not take my animals. | ||||||
Discipline: |
I have not had to discipline a dog for a long time but I found yelling or physical action at any animal does not gain anything. Where would Pembroke spend the majority of the time: When I am home they will be with me. I rarely go anyplace that I could not take my animals. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
yes | ||||||
Where would dog eat? |
in kitchen | ||||||
Where would dog sleep: |
That is a hard question since my dogs started out in a crate or their own bed but after a year or two ended up in bed with me. I know some people don't approve of this. | ||||||
Play & exercise: |
Yes. I would take them out daily either for a walk or run at the dog park | ||||||
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: |
There is not anything in my yard that will a hazard for a dog. | ||||||
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? |
Deb | ||||||
Willing to train children? |
I don't have children. | ||||||
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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 I would be willing to resolve if I add any other animals. | ||||||
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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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