| Date & Referral Source | |||||||
| State: | Date of Application: | 10/15/2018 | Referred by: | Breeder | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
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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: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Other (Please describe in the box below.) |
Other preferences: |
We love day trips and would love a dog that is able to ride in a car for a couple of hours at a time without becoming overwhelmed | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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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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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
The Pembroke would be for my fiance and me to start our family | ||||||
Why do you want a Pembroke? |
from research and meeting some amazing Pembrokes over the years I think we have found a perfect match for our lifestyle. I would like an intelligent dog that I can train to truly be mans best friend while also gaining a fur baby (does not need to be a puppy to be our baby) for my fiance and me to love and snuggle while also have a companion to play with and motivate us to be active when the dog needs playtime. We have both grown up with several dogs in our parent's houses and would love nothing more than to call one of these angles our own. I also believe a Pembroke will be perfect for our lifestyle. we hope that our new family member will be comfortable in the car for day trips to visit new places in Wisconsin and go exploring with us. | ||||||
Activities planned with Pembroke: |
walks, hiking, going to the park and running around or playing fetch, having playtime in our apartment with them. Also lazy snuggle time. | ||||||
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: |
have the dog focus its attention on me that I am not happy with the mistake. But make sure to keep a steady and calm voice as not to seem aggressive. But always will prefer positive reinforcement | ||||||
Discipline: |
ignoring behaviors that are not favorable and making sure to reward good behaviors. Also, trying to redirect bad behaviors to more favorable ones | ||||||
Where would Pembroke spend the majority of the time: |
In our apartment | ||||||
Discipline: |
ignoring behaviors that are not favorable and making sure to reward good behaviors. Also, trying to redirect bad behaviors to more favorable ones Where would Pembroke spend the majority of the time: In our apartment |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Brooke works 4 days a week and can be home with the dog on her off day. I am 5 mins down the road from work and would be able to come home to give the dog attention up to 3 times per day. | ||||||
Where would dog eat? |
In the crate as to create a special area for them | ||||||
Where would dog sleep: |
In our bed | ||||||
Play & exercise: |
There is a dog park 5 mins from our apartment. We love to go on walks on the miles of provided trails. When the weather is too cold there are 3 facilities within 15 mins that allow for indoor play, as to give us more room to run around.
There will also be ample playtime provided in the apartment |
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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: |
Rent/lease home | ||||||
Landlord info: |
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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 | ||||||
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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? |
Sean Gibbons | ||||||
Willing to train children? |
We currently have no children but when that time comes we will for sure raise them to be lovers of all animals | ||||||
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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, we want nothing more to grow our family and we will do what it takes to make it work out | ||||||
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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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