Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 12/07/2019 | Referred by: | Other | ||
Contact Information | |||||||
First name: | {First Name:98} | Last name: | {Last Name:97} | First name 2: | {First Name 2:94} | Last name 2: | {Last Name 2:93} |
Address | |||||||
Street: | {Street Address:3} | ||||||
City: | {City:4} | State: | {State:5} | Zip: | {Zip:6} | ||
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: |
Male, Either a Male or a Female | Color preferred: |
Red & White, Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.) |
Other preferences: |
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Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
{Dog Name (Most recent/ current first):24} | ||||||
Dog description: |
{Description of Dog:25} | ||||||
How long owned? |
{Length of time owned:26} | ||||||
Where is this dog now? |
{Where is this dog now? (Explain if you no longer have the dog):37} | ||||||
Dog 2 | |||||||
Dog 2 name: |
{Dog Name (Most recent/ current first):30} | ||||||
Dog description: |
{Description of Dog:33} | ||||||
How long owned? |
{Length of time owned:35} | ||||||
Where is the dog now? |
{Where is this dog now? (Explain if you no longer have the dog):39} | ||||||
Dog 3 | |||||||
Dog 3 name: |
{Dog Name (Most recent/ current first):29} | ||||||
Dog description: |
{Description of Dog:32} | ||||||
How long owned? |
{Length of time owned:36} | ||||||
Where is dog now? |
{Where is this dog now? (Explain if you no longer have the dog):27} | ||||||
Dog 4 | |||||||
Dog 4 name: |
{Dog Name (Most recent/ current first):28} | ||||||
Dog description: |
{Description of Dog:31} | ||||||
How long owned? |
{Length of time owned:34} | ||||||
Where is this dog now? | {Where is this dog now? (Explain if you no longer have the dog):38} | ||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
Myself | ||||||
Why do you want a Pembroke? |
I recently had to put my Chigi (Chihuahua/Corgi) down. His personality and behavior was definitely more corgi. Outgoing, loyal, loving, great with all animals and people, easy to train, dedicated, cute wiggle, same coat, just an amazing dog. I've always wanted a pure corgi, or close to it. I get the short leg challenge, and the back issues. And accept any and all health issues that come up. | ||||||
Activities planned with Pembroke: |
I love walking. My last dog couldn't go for the long walks I liked, so I'd detour home for shorter walk with him and continue on my way without him. I live in a pet friendly apartment, with a giant yard. Lots of room to play here! I also live very close to the town dog park that has a small dog and large dog area, as well as neighboring towns dog parks within 15 minutes from here. I love doing everything I can with my dog. I've even taken my dog to work with me! I enjoy camping. I myself don't care to swim in the Bay or Lake, but I do like to town sticks out dogs to catch (with supervision of course). Anything we can do together to bond and be each other's companions. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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: |
{If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52} | ||||||
Will handle mistakes Pembroke makes like this: |
If you catch the mistake in action, it's ok to correct it. Each mistake is unique in how to handle it, but never is yelling at or hitting acceptable. For example, if they mess in the house…if caught in the action, a stern No followed by immediately outside. Praise good potty outside. Be more timely with trips outside after that for some time to assure no more messes. Always be excited when going potty outside. Happy, good tone of voice, treats, pets. If I notice an accident in the house that I did not catch happen, nothing can be said at that point. They don't know why you'd be saying No. Just take them out and again praise good potty with happy excitement. | ||||||
Discipline: |
Routine is key. Consistency is a must. I'm all about good praise for good behavior. While training a dog, I tend to be more relaxed inside. Show them it's a calm place. Outside we have tons of fun! (Inside can be a fun place too!) I had one dog who was very very stubborn with training in every aspect. Unfortunately the only way I could get through was with strict kennel training. He was in his kennel often, which was so hard for me. He was out for scheduled play, potty, eating, walking, training. After about a week he got the idea, thank God! It was so sad to do it that way, but it worked. I never use a kennel as a weapon though. Always make a kennel a safe, comfortable home for an animal. I've worked with trainers who suggested leaving a lead on a new dog in the house for a month allowing you to quickly correct poor behavior. I've tried this and didn't have great success. Maybe for some dogs it would work, but I've noticed it just scares the dog to firm jerk on the lead. I want to make sure they know they are safe, and have nothing to be afraid of. | ||||||
Where would Pembroke spend the majority of the time: |
With me wherever I am. I am a homebody typically speaking but I enjoy solo activities. As mentioned above, I enjoy walking and camping. | ||||||
Discipline: |
Routine is key. Consistency is a must. I'm all about good praise for good behavior. While training a dog, I tend to be more relaxed inside. Show them it's a calm place. Outside we have tons of fun! (Inside can be a fun place too!) I had one dog who was very very stubborn with training in every aspect. Unfortunately the only way I could get through was with strict kennel training. He was in his kennel often, which was so hard for me. He was out for scheduled play, potty, eating, walking, training. After about a week he got the idea, thank God! It was so sad to do it that way, but it worked. I never use a kennel as a weapon though. Always make a kennel a safe, comfortable home for an animal. I've worked with trainers who suggested leaving a lead on a new dog in the house for a month allowing you to quickly correct poor behavior. I've tried this and didn't have great success. Maybe for some dogs it would work, but I've noticed it just scares the dog to firm jerk on the lead. I want to make sure they know they are safe, and have nothing to be afraid of. Where would Pembroke spend the majority of the time: With me wherever I am. I am a homebody typically speaking but I enjoy solo activities. As mentioned above, I enjoy walking and camping. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No there are not, but I have several people close by available to help me with pets when needed. (And I always keep a hidden key in the event of an emergency.) | ||||||
Where would dog eat? |
I have a small nook (you could say) in the kitchen. It's the perfect spot for dishes. It's in the open, but not too high traffic to bother the dog. | ||||||
Where would dog sleep: |
Hopefully in bed with me! Again, their preference though! I have pet beds all over, if they like the kennel, that will work. If they want to sleep on the couch. They can. The floor? Hard and cold, but if they are comfortable! I also have doggy steps to get up into the bed too! | ||||||
Play & exercise: |
I walk at least 3 miles a day myself. If the dog would like a longer walk like that, if love to have a walking buddy! If they weren't up for such a hike, I have a shorter route to take. If they aren't fond on walking, we can head to the dog park to play or just roam the yard at home. I do live in WI, along the lake, so there are some winter days that's walks just aren't possible though. But we'll make up with some snowba tossing, tug of war or some memory treat training inside. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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: |
{If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67} | ||||||
May we contact your landlord? |
No, you may not 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? |
No | ||||||
Description of yard: |
I currently do live in an apartment, but am looking for a home to buy. The market is tough right now. I am a dog lover. If it doesn't work to adopt with you, I will most certainly own a dog again soon. With that, for me to purchase a home, it must be a dog friendly environment. ideally a good yard, if not a nice area to walk and hopefully near one of the many dog parks in the area. I am ok with you calling my landlord, but please don't bother her if I'm not next on the list. Please only contact her if there is great chance of moving forward with an adoption. |
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Household members: |
{Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75} | ||||||
Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
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, Katie | ||||||
Willing to train children? |
I do not have children. I do have some kids in the area and that visit very very occasionally. All of them are very good with animals and are at an age where they understand the importance of good behavior around animals. | ||||||
Any allergies? |
No one is allergic. | ||||||
Current pets: |
{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80} | ||||||
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? |
Absolutely! The cats have always been around dogs. Bensyn is much more shy (around everyone and everything) but warms up to new people and pets. Gizmo has more of a dogs behavior-very friendly and outgoing. Both are UTD with all vet needs. | ||||||
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. | ||||||
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: |
{Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87} |