Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 01/25/2021 | 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: |
Male | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic |
Other preferences: |
When we’re not on a road trip we’ve got a lovely half acre and a one story house that we enjoy and make very corgi friendly. Lots of places to explore and sniff around. | ||||||
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? |
Our family. We have 1 extremely loved corgi boy already and are looking to adopt another to love. We love trails, the outdoors and road trips. We are an active young couple that loves taking our stumpy legged buddy everywhere with us! | ||||||
Why do you want a Pembroke? |
The corgi breed is every intelligent, I love training my corgi and he loves showing me what he wants/needs. He’s a great companion for my husband who has Chronns and is just so helpful when he’s on a bad day of his condition. I taught the puppy early to lay on his stomach when my husbands got a bad day and now he knows the cues and loves helping and giving comfort. They’re so loving, loyal and are wonderful companions with huge personalities. They do require a lot of exercise and mental stimulation and we provide that adamantly for our little guy. | ||||||
Activities planned with Pembroke: |
We’re and active family that loves to road trip and visit friends, go to parks, trails, cities and keep life an adventure. The pup goes everywhere with us and is just as excited to start a trip as we are. | ||||||
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? |
No | ||||||
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: |
It’s a perfect opportunity to retrain and make a happy moment of it. When our dog was a puppy he’d accidentally potty in the house and it meant he needed to know we could provide many more opportunities to let him potty outside. So every hour we’d take him outside and gradually increase times in between trips as the days went on. He learned within a week and now sits by the door and lets us know when he’s gotta go. He’s been the quickest and easiest to train and still surprises us on how much he picks up from cues. | ||||||
Discipline: |
Well we have a schedule and routine so the the dog is always exercised before we leave for any amount of time without him so that he’s tired, content and has no desire to destroy items in the house. He has appropriate toys to chew if needed with supervision and I spent years in training classes and on my own time training with him on appropriate barking/reactivity and commands. I love training corgis, they’re wonderfully responsive and so eager to please. Discipline is hardly necessary when you take the time to invest and train the dog. | ||||||
Where would Pembroke spend the majority of the time: |
With us at home or traveling/adventuring. Our dog has never spent a day without us and if needed only gets watched by a trusted few. Our trips are dog centered and we love it!! | ||||||
Discipline: |
Well we have a schedule and routine so the the dog is always exercised before we leave for any amount of time without him so that he’s tired, content and has no desire to destroy items in the house. He has appropriate toys to chew if needed with supervision and I spent years in training classes and on my own time training with him on appropriate barking/reactivity and commands. I love training corgis, they’re wonderfully responsive and so eager to please. Discipline is hardly necessary when you take the time to invest and train the dog. Where would Pembroke spend the majority of the time: With us at home or traveling/adventuring. Our dog has never spent a day without us and if needed only gets watched by a trusted few. Our trips are dog centered and we love it!! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
He has a spot in the kitchen that’s his eati mg area. Same times every day and he knows the routine. | ||||||
Where would dog sleep: |
We would have a crate ready for the pup to be comfortable in and make it a safe “den” like space for them to feel comfortable. | ||||||
Play & exercise: |
Our lifestyle is very active and we love being outside, walking, exploring or trail walking so there is ample opportunity to exercise. We have a good lot of land where our home is to run and get those zoomies out. | ||||||
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: |
No fixtures. Full open backyard with trees grass, couple sheds and lots of room to play and run. | ||||||
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? |
Irene -owner | ||||||
Willing to train children? |
Yes, we do not have children but yes we educate every child that we come in contact with that loves to interact with our dog | ||||||
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! Absolutely | ||||||
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} |