| Date & Referral Source | |||||||
| State: | Date of Application: | 11/17/2018 | 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: |
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: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
I live on a farm with Icelandic Sheep and cattle. The large area around my home is fenced and my dog is confined to that area. I would not want a corgi to get in with the sheep, partially as a concern that the dog would harass them but also that the sheep would chase the dog. My dog once jumped in the pen with the sheep and I had to rescue her from being butted. Dog should also be cat friendly. | ||||||
| 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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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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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? |
For me and also as a companion to my pyrenees/border collie. | ||||||
Why do you want a Pembroke? |
I've loved corgis since my grandmother gave me one of Tasha Tudor's books as a child. My experiences with corgis are limited to a neighbor with one and admiring them from afar. Yes, I have done research on the breed. Not a fan of small dogs, I've always considered corgis an exception as they house a big dog personality in a small package. After I lost my last two dogs to old age, I thought I might be ready for a small dog. Gypsy came into my life, clearly not small. I still think small would still be good addition. | ||||||
Activities planned with Pembroke: |
Living on a farm means being outside much of the time, so I would expect a corgi to be outside with me. I would also appreciate a corgi that would chase groundhogs and rabbits for recreation. And squirrels. The deer usually stay on the other side of the fence. I take Gypsy to town with me, and while she oddly doesn't appreciate the dog park, she loves to go to the farm supply store. There's a great dog obedience trainer in a nearby town and I would expect to take a corgi to dog obedience. | ||||||
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 first examine my behavior and if I created the situation that contributed or caused the mistake. I believe in gentle correction and changing the environment if that was a contributor. When I first got my current dog, at one year old, she dug holes all over the yard. So I planted daffodils in the holes. She doesn't dig anymore, so I have to dig my own daffodil holes. |
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Discipline: |
If the mistake is observed immediately, "no" or "leave it", | ||||||
Where would Pembroke spend the majority of the time: |
With me, inside or out, as she/he prefers. My Pyrenees/Border Collie let me know that she wanted to spend the night outside protecting the farm. We worked it out, and now I only insist that she's inside if it's too cold or hot at night. She's usually out all night doing her job and sleeping all day on the love seat. | ||||||
Discipline: |
If the mistake is observed immediately, "no" or "leave it", Where would Pembroke spend the majority of the time: With me, inside or out, as she/he prefers. My Pyrenees/Border Collie let me know that she wanted to spend the night outside protecting the farm. We worked it out, and now I only insist that she's inside if it's too cold or hot at night. She's usually out all night doing her job and sleeping all day on the love seat. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Me, I'm retired. | ||||||
Where would dog eat? |
In the laundry room where my other dog eats and the cats eat (on top of the washer) | ||||||
Where would dog sleep: |
On a sheepskin dog bed or on the love seat with Gypsy. | ||||||
Play & exercise: |
She/he can play with me or my other dog. There's a dog park in a nearby town that could be used for further socialization. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
It's woven wire and the drive is gated. My dog is inside if the gate is open and otherwise the gate is closed. | ||||||
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: |
My yard is quite large, includes a small apple orchard, garden, barn lot, out buildings, all perimeter fenced. | ||||||
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? |
myself | ||||||
Willing to train children? |
N/A. Already accomplished. She's now dog parent to a blind rescue dog and living in CA. | ||||||
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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. And I would also seek the counsel of Will Steingraber at https://www.easydingo.com/ | ||||||
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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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