Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 09/17/2020 | Referred by: | Website | ||
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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
We have 2 cats as well, so hopefully the Corgi could tolerate some old cats. We are open to any disabilities and health care expenses. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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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? |
Jim and Jessie and our 3 year old Corgi named Leah. | ||||||
Why do you want a Pembroke? |
We are so in love with our 3-year-old Corgi. We are seeing Corgi's all over town now and know that they can be handful. We want to make sure that we can "save" any Corgi that could be put in a shelter, because the owners didn't understand what they were taking on. Most people just think they are cute but don't understand they are a smaller dog with a big dog personality. They make you earn their love on their time. I love that about the breed, so smart and sassy. Yet, when they let you cuddle them for 10 seconds it's like you won a gold medal. | ||||||
Activities planned with Pembroke: |
We walk our puppies every day for at least 15 minutes. It used to be longer, but our oldest pup can't make it any more than that these last few weeks. We just got a stroller for the Pomeranian, so we can go longer. Grandma and Grandpa live 7 minutes walking away, so we love to visit them. We must play tug- a-war and ball every day. We also must visit our favorite neighbor at least 3 times a week. However, mom and dad must stay outside why she opens the screen dog with her nose to get her treats from him. We walk the trails on the weekends. Jim and I both work from home so this makes for easy play, affection, food, and potty breaks. |
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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: |
tell her no and while pointing a finger.. Explaining to her that she knows better and to be nice. | ||||||
Discipline: |
Pointing a finger and telling her she knows better. | ||||||
Where would Pembroke spend the majority of the time: |
On the main floor switching between our two offices and the couch. | ||||||
Discipline: |
Pointing a finger and telling her she knows better. Where would Pembroke spend the majority of the time: On the main floor switching between our two offices and the couch. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
We both work from home. My parents live 8 houses down and stop by at least once a day. We also have our 23 year-old daughter living with us for the next year. ( grad school). We also have a 16 year old who is home Tuesday, Thursday, Friday, and the weekends. (hybrid school because of COVID) We have two 19 year old boys who come home from college over breaks and the summer. | ||||||
Where would dog eat? |
We have a laundry room that we slide the door to separate the dogs when they eat. | ||||||
Where would dog sleep: |
We have an hour of bed time with the Corgi in our bed, then put her to bed in her own kennel in my husband's office. If not, she spends all night chasing cats and is so tired the next day. As my daughter said, " You have a ramp to your bed for a dog that doesn't even sleep with you." Yes, we do and wouldn't have it any other way. |
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Play & exercise: |
We will walk her every day. My husband and I are both outside people. We play ball every day in the backyard. I love to work in the garden and love the puppies out there with me. Our town has amazing trails so we usually hit a trail Saturday morning.
If it is raining then we play ball in the basement. Our Corgi loves the carpet to get a good grip and chase the ball. |
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How will you exercise your dog? |
On leash | ||||||
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: |
{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? |
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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 | ||||||
Description of yard: |
We have a large grass back yard that also has a lake. The lake retaining wall is about 2 feet tall. The lake has about an eight foot landing and then it is a slow deeping. | ||||||
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? |
Jessie Collins | ||||||
Willing to train children? |
Yes | ||||||
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? |
yes.. We have one cat Nera that can be a little moody but that's just who she is. | ||||||
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} |