Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/03/2020 | 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 | Gender preferred: |
Female | Color preferred: |
Red & White, Black Headed Tri, Any color | Activity level: |
Quiet, Playful |
Other preferences: |
|||||||
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? |
Sherry | ||||||
Why do you want a Pembroke? |
I"ve owed 2 corgis and love this breed | ||||||
Activities planned with Pembroke: |
companion .. | ||||||
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 |
||||||
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: |
quietly correct | ||||||
Discipline: |
just working through | ||||||
Where would Pembroke spend the majority of the time: |
my home | ||||||
Discipline: |
just working through Where would Pembroke spend the majority of the time: my home |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
yes | ||||||
Where would dog eat? |
kitchen | ||||||
Where would dog sleep: |
family room | ||||||
Play & exercise: |
live in country on 5 acreas with horses Walks | ||||||
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? |
|||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
5 acreas in country setting | ||||||
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? |
Sherry | ||||||
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? |
|||||||
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} |
Untitled_2966
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/04/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Female | Color preferred: |
Red & White, Sable & White | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
|||||||
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? |
Our family of five- Adam and Karla (dad and mom), Ben (15), Emma (8), Anna (3) | ||||||
Why do you want a Pembroke? |
We have owned a Corgi mix in the past and fell in love with the breed. We have done a lot of research and have friends with Corgis. | ||||||
Activities planned with Pembroke: |
We live in town with a small yard but also own a family farm. 3 children in the house keep activity levels pretty high during the day. | ||||||
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 |
||||||
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: |
Calmly walk over and firmly say "no" followed by immediately taking dog to yard to pee while smiling and supporting correct behavior | ||||||
Discipline: |
positive reinforcement | ||||||
Where would Pembroke spend the majority of the time: |
In the house | ||||||
Discipline: |
positive reinforcement Where would Pembroke spend the majority of the time: In the house |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, most days | ||||||
Where would dog eat? |
space near kitchen | ||||||
Where would dog sleep: |
space near kitchen | ||||||
Play & exercise: |
Opportunities with the 3 kids in the house along with trips 2-3x/week to family farm | ||||||
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? |
|||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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? |
Adam | ||||||
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? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Yes. Not likely to add other pets | ||||||
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} |
Untitled_2965
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/03/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
|||||||
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? |
Our family: Jenny/Jeremy, Hunter (13, son), Taylor (10, daughter), Kodi (3.5 year old rescue Nova Scotia Duck Tolling Retriever), and Magic (4 year old Mini Lop, free roam house rabbit – litterbox trained). | ||||||
Why do you want a Pembroke? |
We recently lost our Westie, she was a spunky terrier who was up for anything. We loved her zest for life, but she also just loved to be with her family. We've considered another Westie, but are also extremely interested in a Corgi. Our first Toller was very anxious/had some separation anxiety, so we have dealt with that. Our Westie was pretty typical for a Westie…extremely outgoing, up for adventure, stubborn, stubborn, stubborn (lol), a ham, bright, but also extremely caring and loving. Our current Toller (Kodi) was from a rescue, we got him at 9 mo of age after he had been through 6 homes (some with neglect and abuse), so it took us about 2 years to really help him and have him develop into the happy dog he is today. He does take anxiety medication, which is very successful for him. We had a private trainer as well to help us work through some reactivity and guarding (due to his prior life). He copes very well now, although isn't always sure of strange dogs when he is leashed, so we accommodate for that by continuing to work through things but also knowing his best environment is never a dog park, etc. We say this up front because he probably wouldn't do well with a 'similar' personality (guarding/reactivity). He loved our Westie though, he loves our neighbor dog, etc. He just needs to 'know' them and know they won't hurt him/us. He loves our rabbit, although the rabbit is the boss. Her/him free roam, except the rabbit is kenneled at night for her safety (so we don't step on her). We've thought a lot about how to add a 2nd dog, and when we adopted Kodi, his rescue said he was possibly the most difficult dog they had placed, so do know that we have the tools/family to take things on. We are definitely mindful though of the temperment that we might need in a future dog and that the process to acclimate everyone can be LONG!
In terms of breed experience with Corgis, we have definitely read up. We feel we have the tools…between owning a very feisty and stubborn terrier for 16 years to owning 2 Tollers—who often present similar to herding dogs, ours have been very Aussie Shep-like. Our Tollers craved jobs, even if they are mundane jobs. |
||||||
Activities planned with Pembroke: |
We go camping, hiking, kayaking, fishing/boating, ice fishing, and are generally outdoor people. Our daughter rides horses (we don't own), so we also are at a barn and are used to lots of animals. All of the horses that our daughter rides are also rescues or Mustangs, so our family is pretty passionate about rescue. Some of the dogs do come to the barn, but it really depends on each dog and if they don't mind large animals. That intrigues us a bit about Corgis as they pair well with livestock/horses. Our family also doesn't mind lounging though. We aren't go, go, go, all of the time. We are not super socializers though, meaning we don't go out on Friday/Saturday nights much. If we aren't out on the boat/hiking/kayaking, then we are at home or working in our yard. We raise Monarchs too and our dogs actually enjoy it…they even sniff out eggs and Kodi (Toller) guards the tent when he knows they are ready to hatch. Small, but important job! |
||||||
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 |
||||||
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: |
Oh my, our rabbit/dogs make mistakes all of the time, just like us/humans, usually we look at it: "How did we make a mistake" or "how didn't we set the situation up for success"…lol, that's the therapist in me. Our Westie was a bit more stubborn, you couldn't really reason with her, but she was a very good dog. Kodi (rescue Toller) by far can be more challenging to train from the standpoint that he wasn't socialized during his first 9 months. We only use positive reinforcement for our training. No shock collars. We try to use prevention, redirection, confidence building, and making small adjustments as we go. It's just a learning process for us still. |
||||||
Discipline: |
We do use some kennel time, but it's not really a negative thing. Our Toller loves his kennel (door is almost always left open) and we trained him so that he feels that is his safe spot. If he doesn't like how our Rabbit is treating him (she can be a bit bold), he knows he can go relax in his kennel and that space is his. If he guards something, we use distraction/redirection and then praise for getting through the incident. It's far more rare. He is still a bit leash reactive as I said, that's the vice that I'd like to improve for him. We have been trying to continue to desensitize him. He is 100% fine with some dogs, but large dogs scare him/make him more threatened. We usually try our best to not have him in that situation and if we see a large dog coming, we turn around or try to redirect him and praise as we leave. Other than that, he is just a fantastic dog and actual 'discipline' isn't needed. | ||||||
Where would Pembroke spend the majority of the time: |
At home with us. I would imagine crated when we aren't home initially. Our dogs have not been crated when we are gone now, but that would be a must with a new puppy/dog. We don't really travel/go on vacations (I dislike leaving home, lol) other than camping and nearby hiking/kayaking, etc. We have a ranch home with a fully exposed basement, plus just under a 1 acre lot. It's not fenced….it has some hills…we do have underground fencing, but stopped using it years ago. We use longer tie-outs for our dogs and mostly keep them in the backyard because of passersby in the front yard. We have a large yard, but still have sidewalks, so there are just walkers/passersby/people that decide they might not leash their dog and we just don't like taking the chance. | ||||||
Discipline: |
We do use some kennel time, but it's not really a negative thing. Our Toller loves his kennel (door is almost always left open) and we trained him so that he feels that is his safe spot. If he doesn't like how our Rabbit is treating him (she can be a bit bold), he knows he can go relax in his kennel and that space is his. If he guards something, we use distraction/redirection and then praise for getting through the incident. It's far more rare. He is still a bit leash reactive as I said, that's the vice that I'd like to improve for him. We have been trying to continue to desensitize him. He is 100% fine with some dogs, but large dogs scare him/make him more threatened. We usually try our best to not have him in that situation and if we see a large dog coming, we turn around or try to redirect him and praise as we leave. Other than that, he is just a fantastic dog and actual 'discipline' isn't needed. Where would Pembroke spend the majority of the time: At home with us. I would imagine crated when we aren't home initially. Our dogs have not been crated when we are gone now, but that would be a must with a new puppy/dog. We don't really travel/go on vacations (I dislike leaving home, lol) other than camping and nearby hiking/kayaking, etc. We have a ranch home with a fully exposed basement, plus just under a 1 acre lot. It's not fenced….it has some hills…we do have underground fencing, but stopped using it years ago. We use longer tie-outs for our dogs and mostly keep them in the backyard because of passersby in the front yard. We have a large yard, but still have sidewalks, so there are just walkers/passersby/people that decide they might not leash their dog and we just don't like taking the chance. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I (Jenny) work Sept-end of May in a school, plus have some vacations like Christmas/Spring Break. Jeremy is a crane operator, his slow season is winter/spring. There aren't too many weeks during the year between our two schedules when the animals are totally home alone for long periods. Jeremy also starts work at 4 a.m., I leave around 7 a.m. He is often home by 1 pm. I get home around 4 pm. Our kids get home around 3 pm each day (bus) from school. | ||||||
Where would dog eat? |
It would really depend…separate from Kodi, he doesn't guard food any more, but he does like to eat and gets a bit 'fluffy', so we always fed our Westie and Toller separate because our Toller easily packs on a few pounds. Usually we have separate spots for the dogs in the kitchen, but we have also put one dog in our laundry room off the kitchen. | ||||||
Where would dog sleep: |
Ohh….well, kennel at first, but then our bed! Our dogs always enjoy sleeping in our bed. It's up to the dog of course though. Our rabbit stays in our bedroom in her kennel as well. Her kennel used to be in a different room, but she wasn't happy and she loves being in the same room as her 'pack'…she feels much safer knowing her family/dogs are nearby. | ||||||
Play & exercise: |
Well, with COVID, I am home 24/7 now! I am doing virtual therapy from home. SO I have unlimited time now and in Summers. As I said, we are big nature people and I have taken my dogs kayaking with me, they go ice fishing, they go on our boat, we go camping, and my kids spend just about 80% of their free time playing with our animals. They make agility courses for our rabbit even. They grow their own veggies/herbs for our rabbit…just to give you an idea that we take our animals very seriously. Our daughter likes to train with Kodi to jump through hula hoops, etc. She originally wanted to get into agility with him, but his fear of some dog breeds made that not a great thing for him. She works with him at home. | ||||||
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? |
|||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Just under an acre yard, not fenced (invisible fence was installed by us but has since not been used as I never felt I could rely on it), it has several hills, so a traditional fence wasn't possible. The dogs mainly go out our backyard, on a long tie-out with supervision. Our Westie could go off-leash in our yard with supervision, she knew her property lines and listened well. Our Kodi (Toller) can not go off his leash, or I guess I just haven't had the courage to really delve into that. No swimming pool, except those plastic kiddie pools—our Westie loved swimming. Landscaping is pollinator friendly…we raise Monarchs and try to promote bees/pollinators. So NO pesticide or lawn treatments. Plants are dog-safe, but we do have milkweed–our dogs never go after it though, and it's out of reach from our tie-out system. I love plants/landscaping/gardening, so I thoroughly read up on plants and never plant toxic plants that could potentially be ingested by a dog. |
||||||
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? |
Jenny | ||||||
Willing to train children? |
We have spent our children's entire lives teaching and promoting that animals deserve the utmost respect, it is never the animal's fault, and that in general, be kinder than you need to be. My son did his 5th grade passion project on house rabbits and rabbit adoption/treatment…his display and presentation travels with the Wisconsin House Rabbit Society! Our daughter rides horses and we are passionate about the barn/trainer we work with because she uses Mustangs and rescue horses. Her favorite horse/BFF is a quirky Arabian who is feisty and most people avoid, but he is her favorite. All of our animals at home have their own quirks and needs, the kids just understand that and know how to change their behavior to meet what our animals need. Rabbits generally do NOT like to be picked up, and they know that, so they always make sure they do what our rabbit wants, not what they want. | ||||||
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? |
No, some of our current pets are not friendly toward dogs | ||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
***I answered no to the above question because our Kodi (Toller) can be reactive to dogs that he sees walking that he doesn't know. Once he knows the dog, he does well, but something like a dog park isn't for him. He adored our Westie, he cared for her lovingly as she aged and declined. He understood she was deaf and would accommodate for her. He has a caring soul and he truly would love a dog friend, but he needs to know the dog won't hurt him or his family. We do think he was abused and was never socialized, so that unpredictability of strange dogs walking or charging at him isn't something we can magically solve. He does take Prozac daily, which is very helpful.
Yes, we are willing to work towards acclimating a new dog. We had our first Toller and our Westie when we got our rabbit…it took a few months, but they all co-existed/loved each other. Then our Toller (Huey) passed and we found Kodi…that took a bit longer, about 6 months to fully acclimate everyone. He knows Magic the Rabbit is part of his pack. We can never tell who the alpha is…sometimes the rabbit bosses Kodi around, but usually we think he just accommodates her/lets her have her way. |
||||||
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} |
Untitled_2964
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/03/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
|||||||
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? |
Brittany and Adam Stephenson | ||||||
Why do you want a Pembroke? |
They bring my husband more joy than anything else on the world. We love the way they look, the way they move, and their sporty energy! We’ve owned a corgi mix and have done lots of research. | ||||||
Activities planned with Pembroke: |
That depends on what our Pembroke is like. We would love to go on lots of walks, play with friends at the dog park, and take car rides! | ||||||
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 |
||||||
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: |
Redirection and positive reinforcement | ||||||
Discipline: |
A stern voice and eye contact. Redirection and positive reinforcement | ||||||
Where would Pembroke spend the majority of the time: |
Wherever we are – on the couch, in the yard, in the kitchen… | ||||||
Discipline: |
A stern voice and eye contact. Redirection and positive reinforcement Where would Pembroke spend the majority of the time: Wherever we are – on the couch, in the yard, in the kitchen… |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Mostly | ||||||
Where would dog eat? |
Instinct raw boost, unless it didn’t tolerate it well | ||||||
Where would dog sleep: |
In our bed with us unless it prefers its own bed in our room | ||||||
Play & exercise: |
Walks at least twice daily, regular time in our fenced yard, and play dates on the weekend | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
4 foot wrought iron | ||||||
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: |
Just open grassy area | ||||||
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? |
Brittany Stephenson | ||||||
Willing to train children? |
We do not have, and do not plan to ever have, children. | ||||||
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? |
Of course | ||||||
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} |
Untitled_2963
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/03/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Male | Color preferred: |
Red & White, Red Headed Tri, Sable & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
We have many friends with children — and hope, in the next several years, to have children ourselves — so we would like the dog to be good around children.
My parents also have a dog, so we would like the dog to get along reasonably well with other dogs. We will be moving into our home late July, so we hope to adopt the dog some time after that point. |
||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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? |
This Pembroke is for us (Christine and James). We are moving into a house at the end of July and would love to welcome a dog into the family after that point. The house is two blocks away from a forest preserve and cannot wait to take our dog on a walk every day! | ||||||
Why do you want a Pembroke? |
We have done research on the breed. We are drawn to Pembroke Welsh Corgis because they are good family animals and are herding animals. We want a dog that wants to be with us. We view our future dog as a valued member of the family and want the dog to be integrated into our lives (being around the house, taking walks each day outside, etc). We also really love the look of the Pembroke Welsh Corgi. 🙂 We think that they are very cute! | ||||||
Activities planned with Pembroke: |
Our new house is two blocks away from a forest preserve. We want to take our dog to the preserve on a regular basis. We also want to take him on daily walks around the neighborhood.
We also want to play with our Pembroke in the home. We look forward to buying toys for him and playing whatever games he finds amusing. We would also be happy if he would be willing to sit on the couch with us while we watch tv. |
||||||
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 |
||||||
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: |
Telling the dog no.
We will be new dog owners and are happy to take him to dog obedience school so that we can all learn together. 🙂 |
||||||
Discipline: |
Telling the dog no and using rewards to reward good behavior.
We will be new dog owners and are happy to take him to dog obedience school so that we can all learn together. 🙂 |
||||||
Where would Pembroke spend the majority of the time: |
Inside our home. | ||||||
Discipline: |
Telling the dog no and using rewards to reward good behavior.
We will be new dog owners and are happy to take him to dog obedience school so that we can all learn together. 🙂 |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, my husband James is home during the day. | ||||||
Where would dog eat? |
The kitchen. | ||||||
Where would dog sleep: |
In a dog bed inside our home. | ||||||
Play & exercise: |
We take a 40 minute walk every day, weather permitting, and want to take the dog with us. Given our proximity to a forest preserve, we will take longer walks to the preserve on weekends. | ||||||
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? |
|||||||
Living arrangements: |
We will be moving into our own home in late July. | ||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
No swimming pools. There is a deck in the back yard, a raised garden patch, and a shed (the corgi will not live in or frequent the shed). | ||||||
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? |
James and Christine | ||||||
Willing to train children? |
We do not currently have children, but we will take that time when they come along. | ||||||
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? |
|||||||
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} |
Untitled_2962
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/03/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Other (Please describe in the box below.) |
Other preferences: |
Our household includes an 11 yr old girl who is excited to help train the new pet. The dog should be safe for an older mature child. We have two guinea pigs. We want to be confident it won’t eat the piggies! |
||||||
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 and my family | ||||||
Why do you want a Pembroke? |
I have researched the breed. I like that we can not only go for walks together, but also spend time training. I like corgis are smart, want to figure things out and can do agility. My daughter also thinks they are so cute. | ||||||
Activities planned with Pembroke: |
Walks, fetch, train Agility, hang out and watch TV. | ||||||
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 |
||||||
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: |
It depends: verbal command, remove the dog from the situation, reward good behavior, | ||||||
Discipline: |
Positive reinforcement- favorite toy, treats, verbal praise | ||||||
Where would Pembroke spend the majority of the time: |
With our family | ||||||
Discipline: |
Positive reinforcement- favorite toy, treats, verbal praise Where would Pembroke spend the majority of the time: With our family |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No | ||||||
Where would dog eat? |
Kitchen | ||||||
Where would dog sleep: |
In a doggie bed in daughters room | ||||||
Play & exercise: |
Morning and pm walk and play time. Agility Training and yard play time, dog park visits. 1-2 hrs per day |
||||||
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? |
|||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Large suburban yard. Wetland in back yard. Invisible fence in back yard. | ||||||
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? |
Me | ||||||
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? |
The big should not attack the pigs in their cage. The cage is a could feet off the floor and can be covered | ||||||
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} |
Untitled_2961
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/01/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Female, Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
We prefer a female, as we have had many male dogs in the past. But, we are open to either male or female. We prefer a younger dog, and if older than 2 years old, then we would like it to be potty trained. | ||||||
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? |
Theodore and Sean. | ||||||
Why do you want a Pembroke? |
I (Theodore) grew up with a Cardigan Corgi (Limo) and he was the sweetest dog ever. We got him from a breeder in Alaska as a retired show dog. Out of all of the dogs we had growing up, he had the biggest personality. They are just fun dogs. My Partner (Sean) also grew up with two Pembroke Corgis (Lilly and Bobo) and he absolutely loves the breed as well. As a breed, we know how feisty they are, but also how loving and caring they are. We are also familiar with their need for regular walks and the fact that they shed ALOT. Growing up, there were always tumbleweeds of corgi and smoked fur in our house. | ||||||
Activities planned with Pembroke: |
Go for regular walks. Take them with us Camping. Lap dog while relaxing at night. Also, any additional activities that they would like to do. Every dog I ever have had has had different personalities. Some like to play fetch, some like tug of war, some like to play tag. So, it actually depends on what the corgi likes to do to play, I would incorporate that into what we like to do 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 |
||||||
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: |
Point at them and firmly say “No”. | ||||||
Discipline: |
Point at them and firmly say “No”. Also like to use social distancing to let them know their behavior was bad. The combination of the two, depending on the severity of the action seems to work really well. | ||||||
Where would Pembroke spend the majority of the time: |
In the house with Sean and I. We do have a good sized yard (~10,500 sq. Ft. Lot) for them to roam around as well, when they want to. | ||||||
Discipline: |
Point at them and firmly say “No”. Also like to use social distancing to let them know their behavior was bad. The combination of the two, depending on the severity of the action seems to work really well. Where would Pembroke spend the majority of the time: In the house with Sean and I. We do have a good sized yard (~10,500 sq. Ft. Lot) for them to roam around as well, when they want to. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. My partner is currently at home all the time and would be available. | ||||||
Where would dog eat? |
In our house, in the kitchen. That would be were their food bowl would be. | ||||||
Where would dog sleep: |
It depends. If they are well behaved, then most likely with us. If not, then on their bed in the living room. If they cannot be trusted, then we might have to resort to a kennel. Which is not what we would prefer to do. I only mention that because our last dog was a beagle rescue who was over 8 years old when we adopted him, and we could never leave him out, cause he wouldn’t respond to training and would urinate all over the house, if left unsupervised. | ||||||
Play & exercise: |
Tons. We are very active walkers and plan to bring our corgi with us every time we go walking. Which we do everyday. | ||||||
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? |
|||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
We have a ranch home with a walk out basement into the backyard. The lot size is ~10,500 sq ft. Most of the yard is grass, but we do have lots of shade owing to our 9 trees (mostly maple). The only hazard we have would be the creek at the end of our lot. But, it is very shallow at less than a foot deep. | ||||||
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? |
Sean Rummelhart | ||||||
Willing to train children? |
I am willing. But, we don’t have any children. However, we would be willing to instruct children who come into contact with the corgi about being respectful of the corgi. | ||||||
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? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Absolutely. Right now, since we don’t have any other pets, we don’t have to worry about that. But, in the future, if we were to adopt a second dog, then we would make a prerequisite that the new dog must be able to get along with our current dog. Which is why it would be important for them to meet, before adopting a second dog. | ||||||
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} |
Untitled_2960
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/02/2020 | 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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
This will be my first dog, that is my dog. I had dogs and grew up on a farm, but I have only ever had cats as my own. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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? |
This dog is for me. I am a single young woman living in a two-bedroom apartment, with a great balcony. | ||||||
Why do you want a Pembroke? |
I want to rescue a dog, I have been thinking about it more and more over the past year. I grew up with herding dogs, and am familiar with their characteristics like being protective and trying to herd their owners. I have been looking for a dog breed that matches my lifestyle and personality. I love the breed's size to energy ratio. | ||||||
Activities planned with Pembroke: |
I live by several parks and nature centers and would love to bring a four-legged friend with me when I go to them. I love being outside. I recently lived in the upper peninsula of Michigan and still have many friends that I like to visit. It is a great area with tons of nature and lakes and I want to share my adventures with the animals and friends of my life. I also love being affectionate and cuddle, that is an activity I would share with my dog too. | ||||||
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 |
||||||
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: |
I think it is important to remember that a mistake is an accident and to have patience when working with a new pet. Most mistakes can be easily cleaned up. It is also important to work on laying down a strong foundation so that the dog knows that the mistake isn't something that should be done again. | ||||||
Discipline: |
I really like using a blend of positive reinforcement, trust, and using firm words to alert them to when what they are doing is wrong. I think trust is really important and having that connection between owner and pet. I do not like raising my voice or being vocally agitated when working with my pets and teaching them discipline. With my cats, I like to use the word 'naughty' which they associate that with something I do NOT want them to be doing. | ||||||
Where would Pembroke spend the majority of the time: |
I have a pretty large two-bedroom apartment. It has a large balcony that faces a ton of trees and nature. I like to be in the living room space/ balcony. My cats really like that area too. I also like watching movies in bed all cuddled up and my kitties like that too. | ||||||
Discipline: |
I really like using a blend of positive reinforcement, trust, and using firm words to alert them to when what they are doing is wrong. I think trust is really important and having that connection between owner and pet. I do not like raising my voice or being vocally agitated when working with my pets and teaching them discipline. With my cats, I like to use the word 'naughty' which they associate that with something I do NOT want them to be doing. Where would Pembroke spend the majority of the time: I have a pretty large two-bedroom apartment. It has a large balcony that faces a ton of trees and nature. I like to be in the living room space/ balcony. My cats really like that area too. I also like watching movies in bed all cuddled up and my kitties like that too. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, it is just me and my cats here. I live near campus so I am excited to be able to come home for lunch and have the ability to come home and wind down with my pets. | ||||||
Where would dog eat? |
I have a tile-floored kitchen/dining area where I like to eat. My cats have their food in this area. I would put the dog's food in this area as well. The tile also makes it easy to sweep up and clean messes. | ||||||
Where would dog sleep: |
Like I said above, I would like to crate train first and establish a space that makes them feel safe and has their sleeping area. I think that is really important when working with a new animal that you don't know. It keeps you safe and the pup safe. I would probably put the crate in either of the bedrooms. | ||||||
Play & exercise: |
I like to work out/be physically active 4-5 times a week. This is usually between 1.5-2 hrs a week. I am interested in finding fun ways to share my activities with my dog. I also know it is really important that these dogs get exercise because they are prone to obesity and the physical activity will help them sleep better at night. I live a pretty healthy and physical life and I would want to instil that in their life and routine. | ||||||
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? |
|||||||
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: |
No, my landlord has not given me permission to adopt a Pembroke | ||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
I do not live in a house | ||||||
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? |
Sarah Calvert | ||||||
Willing to train children? |
I do not have children, but I think it is important to teach children in general how to interact with your 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, I am, I have always lived with animals and am familiar with how to introduce them to one another. | ||||||
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} |
Untitled_2959
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/02/2020 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Playful |
Other preferences: |
|||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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? |
For our daughter for her Birthday on the 18th. | ||||||
Why do you want a Pembroke? |
We have done research on the breed about there shading etc.Our daughter has always loved them and thinks their little legs are cute along with their long body's.We do not have any experience with them. | ||||||
Activities planned with Pembroke: |
We would walk it,train it, take it to the park for a walk on nice days,let it run in our yard | ||||||
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 |
||||||
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: |
I would not yell and I would be calm and tell them no. | ||||||
Discipline: |
Crate training Positive reinforcement Have them look you in the eye |
||||||
Where would Pembroke spend the majority of the time: |
Outside | ||||||
Discipline: |
Crate training Positive reinforcement Have them look you in the eye Where would Pembroke spend the majority of the time: Outside |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Now there is because,of Covid 19.But other wise not really. | ||||||
Where would dog eat? |
In the kitchen. | ||||||
Where would dog sleep: |
With our daughter in her bed or in a dog bed | ||||||
Play & exercise: |
He/she will will get lots of opportunities at home and at our cabin.He/she will get an hour or more of exercise. | ||||||
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? |
|||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Its one half acre, with no pool, lots of grass, few trees, and a natural fence line . | ||||||
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? |
Lilia | ||||||
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 are willing. | ||||||
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} |
Untitled_2958
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 05/02/2020 | 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: |
3 years – 5 years, 5 years – 10 years, 10 years + | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Other (Please describe in the box below.) |
Other preferences: |
Get along with other dogs. I don't have any pets but my neighbors do | ||||||
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? |
Yes, I have researched the breed. I love the way their butts waddle. They are smart, curious, polite. Just the right size. | ||||||
Activities planned with Pembroke: |
Walking, playing, cuddles | ||||||
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: |
Clean up the mess. I would take obedience classes to learn how to handle the issue | ||||||
Discipline: |
Talk to them | ||||||
Where would Pembroke spend the majority of the time: |
With me | ||||||
Discipline: |
Talk to them Where would Pembroke spend the majority of the time: With me |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
Just about anywhere he/she would want. I am not adverse to a pet in bed with me. | ||||||
Play & exercise: |
Walks, hopefully, a couple of times a day. Play and exercise every day. | ||||||
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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Small back yard | ||||||
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? |
MARTA HUGHES | ||||||
Willing to train children? |
No children | ||||||
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? |
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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} |