Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/16/2021 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
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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? |
Us! We want a lovable friend to have around, okay with, and to enjoy walks with. | ||||||
Why do you want a Pembroke? |
We love the breed. It’s the big dog in a smaller package which is exactly what we are looking for. We love the playful/adventurous side of the breed, as well as the busybody they tend to be. | ||||||
Activities planned with Pembroke: |
We’d go on walks around our neighborhood and our nearby parks, we are next to a lovely river walk. We would play basic dog things like fetch, tug o war, and generally just play with him to keep him busy. | ||||||
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: |
With nipping, we would redirect the biting to toys, not people.
We would use sound. I’ve read that corgis respond well to clicker training and human sound. Training is key. Because Corgis tend to be active little guys we would exercise him to tire him out. Time out areas if needed, and a general mixture of all those things. |
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Discipline: |
I’ve learned that punishment is not a good form of discipline, but instead to treat when they do the right thing. Accidents happen, dogs often don’t know better and act on instinct. We are a reward for good behavior kind of family, and disappointing sounds when they haven’t behaved. | ||||||
Where would Pembroke spend the majority of the time: |
Freedom amongst the house. Luckily as a college Professor, I spend a good amount of time at home. My wife is a nurse for a doctors office, so she is a 9-5 worker with weekend off. | ||||||
Discipline: |
I’ve learned that punishment is not a good form of discipline, but instead to treat when they do the right thing. Accidents happen, dogs often don’t know better and act on instinct. We are a reward for good behavior kind of family, and disappointing sounds when they haven’t behaved. Where would Pembroke spend the majority of the time: Freedom amongst the house. Luckily as a college Professor, I spend a good amount of time at home. My wife is a nurse for a doctors office, so she is a 9-5 worker with weekend off. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Most of the time yes, except for 2-3 hour windows. | ||||||
Where would dog eat? |
In his crate (in our bedroom in our single floor home). The goal is to be the main puppy station | ||||||
Where would dog sleep: |
In our bedroom, helps us keep an eye on him. | ||||||
Play & exercise: |
As a couple we enjoy taking walks, and really want a 4 legged companion to take with us. We live in a wonderful neighborhood with many parks and sidewalks. | ||||||
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? |
Yes, you may 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? |
Yes | ||||||
Description of yard: |
N/A | ||||||
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? |
Sara Livengood | ||||||
Willing to train children? |
We do not currently have children, but if we did— 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. Bob had lived with a dog before when we lived in Alabama. | ||||||
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} |