| Date & Referral Source | |||||||
| State: | Date of Application: | 09/15/2018 | 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 | Gender preferred: |
Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Other (Please describe in the box below.) |
Other preferences: |
We have a 3.5 year-old and newly 1 year-old who love animals (they adore our cats, and visiting with my brother and sister-in-law's three Pugs and my mother-in-law's two Shiba Inus and two Rottweilers). Our ideal dog would be very comfortable around young children and other animals.
We know we are looking for a bit of a "unicorn" pem, but we are in no rush. We would much rather wait a couple years for the dog that best fits our family than to rush into a dog that may be more comfortable in another home. |
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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 2 | |||||||
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| Dog 3 | |||||||
Dog 3 name: |
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| Dog 4 | |||||||
Dog 4 name: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
For our family, though our 3.5 year-old son will certainly want to feel like a dog is for HIM specifically. | ||||||
Why do you want a Pembroke? |
Having previously owned Shibas, we're accustomed to (and prefer!) bossy dogs with big personalities. We love that Pembrokes are independent and intelligent "big dogs in little bodies", who enjoy being part of a loving family. From our research (and we've done lots!), we feel a Pembroke Welsh Corgi could do well in our home – keeping an active lifestyle, but rarely being left alone, and having some tolerance for little people (even if they end up occasionally herded!). | ||||||
Activities planned with Pembroke: |
We would love to play at home (including some basic training and perhaps simple tricks, if the dog is inclined), as well as walk, hike, and run with us. | ||||||
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: |
When relevant, we would do a calm but firm no, followed by redirection and positive reinforcement (via treats, praise, etc.) when the desired behavior is shown instead. | ||||||
Discipline: |
We have had success training with redirection and position reinforcement, though we are always open-minded to learning more methods. | ||||||
Where would Pembroke spend the majority of the time: |
Primarily with me (and other members of the family when they are home) in and around our home. | ||||||
Discipline: |
We have had success training with redirection and position reinforcement, though we are always open-minded to learning more methods. Where would Pembroke spend the majority of the time: Primarily with me (and other members of the family when they are home) in and around our home. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, excluding errands and occasionally helping out for a few hours at our children's preschool, I am home the majority of the day. | ||||||
Where would dog eat? |
We would use a quiet area just off our bathroom where the dog could eat in peace (and away from little fingers!). | ||||||
Where would dog sleep: |
Wherever preferred by the dog, though it would be our default to start with a cozy bed in our room unless a crate is necessary (a crate would likely fit best into the playroom near our bedroom). | ||||||
Play & exercise: |
I'd love a dog who would happily walk the kids to school with me (~2.25 miles round trip), as well as other walks around our neighborhood (we do live downtown, so a dog that is comfortable with that is ideal), and perhaps also runs and longer hikes. | ||||||
How will you exercise your dog? |
On leash | ||||||
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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: |
We live in a large home with a small back yard and large front yard. It is not currently fenced in any way, though we would consider fencing if necessary. There are no fixtures, just trees and gardens. | ||||||
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? |
Lindsey | ||||||
Willing to train children? |
Yes. I expect this will be something that will require daily work, but I expect our children to care very much about learning the lesson and doing well. | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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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? |
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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