| Date & Referral Source | |||||||
| State: | Date of Application: | 01/21/2019 | Referred by: | Friend | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
My dogs have always been social butterflies. My daily activities are good for bringing a little buddy along with me most of the time. (Weather permitting) | ||||||
| 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? |
It is for me, and everyone we see while out and about. | ||||||
Why do you want a Pembroke? |
My girl Shelby was the best companion dog that I have ever had. Adorable, attentive, intuitive, extremely good natured. Smart as a whip. Albiet, kinda stubborn. Oh and did I say "The absolute cutest dogs in the world"! | ||||||
Activities planned with Pembroke: |
Owning a floor covering store requires me to cover the showroom from time to time. It is a real ice breaker for customers that are dog lovers. I also drive Semi trucks part time. Shelby went with me on almost all of my local within Michigan trips. She loved it, and everyone she met always asked for her. An absolute people magnet. Summer time swimming, hiking, loafing, working. Outside a lot. Right now its about 3 degrees. | ||||||
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: |
Depends on the mistake? If I witness the mistake it could require scooping the dog up and heading outside, trying not to get to excited. That includes me. lol If I don't witness the mistake more than likely the dog would have no idea why I would be upset. Unless it a repeated issue. Then shame on me, I think. |
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Discipline: |
Gentle coaxing, reassuring voices and regular commands. Consistency is best, works with kids too. | ||||||
Where would Pembroke spend the majority of the time: |
Absolutely with me when ever possible. Except in extreme hot or cold. I have broken a window in the mall parking lot to save , or at least cool of a dog. I called the police, waited a few minutes, and took action. No ticket or charges. Frankly, I would definitely do it again. | ||||||
Discipline: |
Gentle coaxing, reassuring voices and regular commands. Consistency is best, works with kids too. Where would Pembroke spend the majority of the time: Absolutely with me when ever possible. Except in extreme hot or cold. I have broken a window in the mall parking lot to save , or at least cool of a dog. I called the police, waited a few minutes, and took action. No ticket or charges. Frankly, I would definitely do it again. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
My 86 year old Mother whom is being placed in a care facility when one becomes available. Lewy Body Dementia. It's a tough one. My dog would be with me under most circumstances. | ||||||
Where would dog eat? |
I have a nice slightly elevated eating station. Perfect height for a Corgi. | ||||||
Where would dog sleep: |
With Me, certainly. lol | ||||||
Play & exercise: |
During the summer We'd spend time at Lake Michigan and other lakes and walking parks in the area. There's lot of that here. Biking in a big basket too. Lots of activities. My Shelby wasn't fat. Darn cancer got her. 10 years old. Oh my. | ||||||
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? |
I live in an rural are with 1 acre. Snow fence all the way around me and my brothers (he's my neighbor) property. 2 acres total. Individual dog runs fenced (chicken fence) for unattended pooping. lol | ||||||
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: |
I live in a rural area 7 miles west of town. I have 1 acre of trees, gardens, lawn, out buildings to be explored again. No pool, its a quiet area with lots of walkers in the neighborhood. Great country for a dogs life, I've lived here for 35 years. Shelby was my 3rd dog I've helped cross the Rainbow Bridge with a Housecall Vet. | ||||||
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? |
Steven Gerald Bodamer (Me) | ||||||
Willing to train children? |
I love teaching that with little kids, with a Corgi. Sometimes it's their first exposure to dogs. Shelby was so gentle and loving to sticky fingered little tykes. | ||||||
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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? |
I have no other pets at this time. | ||||||
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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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