Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 11/28/2020 | 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: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years + | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Very Active |
Other preferences: |
I’d like a fairly active Corgi only because my Mayzie is only a year old and she is so outgoing, playful and energetic. I’m afraid if I took on one that was more relaxed Mayzie would be in her face all of the time trying to play. | ||||||
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? |
Myself and my sweet girl Mayzie PW Corgi | ||||||
Why do you want a Pembroke? |
I want to adopt because every Corgi deserves a “furever” home filled with love and care. I’ve been around this breed for 25 years. I’ve been a breeder (several yrs ago) and I’ve purchased corgis through friends of mine that are breeders in the past including my current girl Mayzie. Now I want to adopt one. What I love about the breed is that they all have the similar corgi traits and quirks but each is their own personality. My late corgi Homer who lost his battle to the worst kind of cancer a dog can have was my 4 legged little soul mate. He was very protective of me, he would through his chewies in the air and chase after them. He would also talk to me all the time. He didn’t give a lot of kisses but I knew when I got one it was special. He was a cuddle bug. He would stay by my side no matter where we went …. whether it was to the bathroom or a hike. He was playful at times but more laid back. Now Mayzie … she gives kisses until you actually have to push her away, she is a cuddle bug but more independent than my Homer was. She wants to play ALL the time (she is young though and so a lot of that is still being a puppy). She destroys her toys where Homer didnt. Mayzie barks at everything where Homer barked at squirrels ? and people getting close to the house. Homer you could not take a chewie out of his mouth or mess with his good bowl while he was eating. Mayzie you can do that. Homer I could do his nails no problem, Mayzie …. not so much. So although they are similar because of the breed, they are different in their personalities. I also run a Facebook page that I created 4 years ago called Corgmopolitan so Homer was and Mayzie is famous world wide. |
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Activities planned with Pembroke: |
We go on hikes, Kayaking, truck rides to visit my parents (out of state) We spend a lot of time outside just hanging out. We go to my sons farm and Mayzie gets to play with her cousin Fly who is a border collie and explore the farm. We play games inside the house as well. | ||||||
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: |
In all of the years I’ve been around this breed I’ve have never (knock on wood) ever had serious behavior issues with any of them. The worst mistake I’ve ever had is potting in the house. If that happens I first have to look at the reason why it happened. Did I not take them out at the required time, is something upsetting them to where they are trying to just get my attention, are they sick, or maybe we are visiting family and in a different atmosphere. When I look at these options there is not a need for punishment. If for some odd reason they go potty in the house and none of the previous listed above do not apply, I find by just looking at them and asking them “what’s this” and telling them that that’s naughty is usually enough to correct them. See I find a lot of behavior issues can be resolved by your communication to them. Corgis are EXTREMELY smart and they know when they have done something naughty. You don’t need hard core discipline with this breed. Mayzie will respond to me when I snap my fingers. When we visit my son and his family and my grandkids have crackers or whatever in their hands and Mayzie thinks she can eat out of their hands I just snap my finger and says “Mayzie … NO” and she stops. | ||||||
Discipline: |
Oops …. just listed that above. | ||||||
Where would Pembroke spend the majority of the time: |
With me and if I’m at work …. in the house … the whole house NO crate. | ||||||
Discipline: |
Oops …. just listed that above. Where would Pembroke spend the majority of the time: With me and if I’m at work …. in the house … the whole house NO crate. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I have my cousin living with me. | ||||||
Where would dog eat? |
Mayzie has her own little placemat in the kitchen where her water bowl is at and where her food bowl gets placed when it’s time to eat breakfast and dinner. | ||||||
Where would dog sleep: |
With me in my bed along with Mayzie. | ||||||
Play & exercise: |
They will get a lot of excercise. Mayzie and I play fetch in the house and we play with her toys too. I also take Mayzie on long walks as my house backs up to a huge parks with trails. There are also forest preserve trails around me that I like to take them too. I’m NOT a fan of dog parks because I am anally picky and I don’t know if others keep their dogs up to date on their shots or some people can’t control their dogs and it makes me nervous. | ||||||
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: |
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: |
Right now my back yard is absolutely huge. There are no fixtures in the yard. In the spring I do intend to fence off part of the yard because Mayzie loves to take off but loves to be outside so I can’t let her out with out a leash. | ||||||
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 | ||||||
Willing to train children? |
ABSOLUTELY…. my grandkids know all about corgis | ||||||
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 | ||||||
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} |