Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/08/2021 | 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: |
3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet |
Other preferences: |
Within five years I will be in a retirement community, possibly assisted-living but more likely in an independent apartment situation. So I need a dog that would adjust to being walked from that facility.
My other concern besides getting a dog that would be good with my physical limitations is that I can’t pick over 20 lbs. An average adult corgi may be too heavy, but perhaps if you had a smaller corgi mix, that dog could find a good forever home with me. |
||||||
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. I raised a Pembroke Welsh corgi from puppyhood through 1 yo including various puppy classes. At that time, the “owner“ of the dog and I split up. Although I had been the primary caretaker, I lost the dog. I’ve been interested in adopting one ever since. Instead, I fell in love with a rescue mix of beagle/terrier/hound. She came to me at four months with no training. I did everything from housebreaking to helping her deal with the aftermath of severe abuse. At 16 1/2 she recently died. I’m just beginning to look at a new adoption situation but thought I would put an application in now as a suitable dog may not show up for sometime. | ||||||
Why do you want a Pembroke? |
Things I love about corgis: they are incredibly sociable and most love to hang with their person. They are incredibly trainable whether as hiking companions, family/house dogs, shepherds, therapy dogs. They like cold. My particular disability requires that I keep a cold house. A welsh corgi with their double fur coat would really get along well in my house. Of course, the original three corgi pups that I lived with and trained (which became one corgi pup after awhile) helped me to fall in love with this breed. As I mentioned before, I would be happy to go to an obedience class it’s part of transitioning the dog to my home, but extensive/initial training is beyond my capability. | ||||||
Activities planned with Pembroke: |
Take walks around the neighborhood on days when I can (I only have a indoor wheelchair so I can’t go out in rain or snow but hire someone to supplement my walks), cuddle on my lap or next to me on the couch. We could also play indoor fetch with toys or treats, take a class be a therapy dog (and then visit nursing homes as a therapy dog) or learn tricks and other activities we can do together indoors or on my deck. If the dog is a fetcher, I can also throw balls off my deck for the dog to get in the backyard. Ever I do have limitations on my energy. I only have between three and five hours of active time every day. So a dog who would rest with me happily would be best. Fact, I would adopt a senior if the dog was agile enough to get into an out of the backyard on his or her own. | ||||||
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? No |
||||||
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: |
Depends on the mistake. If a dog is having trouble with housebreaking. I would take it outside immediately after an accident to impress on the dog that that’s where we go. If I saw the pre-piddling behavior, I would also take it outside to begin that training. I would also walk the dog extensively on a schedule so that the dog gets used to proactively peeing outside. I would praise and treat the dog whenever he or she peed outside. If a dog chewed up something that was mine and not the dog’s, I would live with it while reorganizing my house to have tempting things out of reach. If the behavior showed that the dog was in distress, I would bring in a dog psychologist for help understanding as well as enroll in classes that would both teach me to handle that particular behavior and give the dog activities to ameliorate the behavior. This is what I did with my previous rescue puppy who came from very severe neglect and abuse. | ||||||
Discipline: |
I haven’t had to deal with uncontrolled barking, controlled chewing, or barking in the house. The behaviors I have dealt with are house training, going politely in and out of the door, walking politely on leash, staying off of some furniture while being allowed on other furniture, coming when it was time to leave the dog park or yard, sleeping in her bed, plus basic obedience like sitting, staying, etc. My dog also needed activities to alleviate her fear. It turned out she loved to do dance tricks. We also learned some games from a psychologist that we could play in the house. She was very treat-oriented so I did all this training with positive reinforcement using praise and treats. | ||||||
Where would Pembroke spend the majority of the time: |
With me in my house. although she or he could spend as much time in my large, fenced backyard as desired. | ||||||
Discipline: |
I haven’t had to deal with uncontrolled barking, controlled chewing, or barking in the house. The behaviors I have dealt with are house training, going politely in and out of the door, walking politely on leash, staying off of some furniture while being allowed on other furniture, coming when it was time to leave the dog park or yard, sleeping in her bed, plus basic obedience like sitting, staying, etc. My dog also needed activities to alleviate her fear. It turned out she loved to do dance tricks. We also learned some games from a psychologist that we could play in the house. She was very treat-oriented so I did all this training with positive reinforcement using praise and treats. Where would Pembroke spend the majority of the time: With me in my house. although she or he could spend as much time in my large, fenced backyard as desired. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes almost all the time. Pre-pandemic I went out for 2 – 4 hours once or twice a week and otherwise stayed home. | ||||||
Where would dog eat? |
I presently have both the water and food bowl set up next to a counter in the kitchen. However, my last dog would sometimes get an aversion to eating. I theorize that she was attacked by other dogs when she was eating as a puppy. When she felt too unprotected to eat in the kitchen, I fed her in other rooms of the house where she felt more protected. I also once had to feed her only in the yard since she wouldn’t eat indoors. Unfortunately, the dog I adopt now can’t need such things since I can no longer provide them. | ||||||
Where would dog sleep: |
I use a hospital bed and would love to have a dog that would also want to sleep in bed with me if the dog could handle the hospital bed. I have to use a lot of props and turning over is a production number. So an easily disturbed dog would not find this comfortable. I had my previous dog’s bed next to my hospital bed in the bedroom as she preferred not to sleep with me. So, that is also a good solution. If the dog needed to be crated at night, I could set a crate up in my bedroom. | ||||||
Play & exercise: |
As mentioned before under activities, I have a very large fenced backyard that the dog would be free to roam. I also have a really beautiful multi level deck (12 total steps down to the yard). My last dog loved to play indoor fetch with treats. We also did tricks with toys or dancing in my house. We can take walks (I generally do either take a half mile or 1 mile “walk” around my neighborhood) but as I mentioned, my maximum speed is 4 miles an hour which will not give the dog a chance to run. On days when I can’t walk I would plan to hire someone to walk the dog. I could potentially have someone take the dog for me to doggy day care or the dog park but I can’t do that myself anymore. So, I would like a dog that’s more in the couch potato end than on the active end. | ||||||
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? |
Most of the fence is 4 foot chain-link that’s only a couple years old. One side is wood picket fence although it has chicken wire at the lower half to keep dogs in. That part of the fence I plan to replace within a year. A dog inclined to jump over 4’ would not work for my yard. But I hope most corgis would not have that capacity | ||||||
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: |
The yard is mostly “grass“ (actually creeping charlie). There is a shed at the back and 3 enclosed trees -2 pines and 1 maple. A low rock wall separates a grassy area by the deck from the larger area of the yard. My prior dog walked around the wall or climbed it. There’s a rain garden with native plants and another garden with mostly native plants that the dog’s free to hide bones in or dig in as they like. | ||||||
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? |
Elena Tabachnick | ||||||
Willing to train children? |
I have no children. The children next-door would be interested in the dog (they have a dog of their own), but they were not allowed to pet my prior dog as she was very shy around children. Despite being quite young – they were both born in that house and one is now four while the other is six – they were very obedient to my rule. | ||||||
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? |
I have no current pets. I’m looking for a dog that would be happy as an only 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_3626
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/08/2021 | 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, 3 years – 5 years | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic |
Other preferences: |
I live in a condo that only allows support animals so while I cant help it and will train the dog – it having its bark under control would be a bonus 🙂 I love that you require a 2 week minimum to getting to know the dog because I believe the dog-human relationship cant be bought, you certainly have to trust the right dog will find you. I believe this agency will help guide me to my future best pup | ||||||
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 corgi is for me. I am looking for a support dog and a corgi to rescue. I grew up with a Corgi and this breed is the only breed I want to have because I know how amazing and lovable and loyal companions they are. I work at the children's hospital nearby an on my off days I would love a pup to explore the city with. I am active but just like a corgi, enjoy my lounging time :). I hope to find the right fit through this rescue agency! | ||||||
Why do you want a Pembroke? |
I grew up with a male corgi – we found him when he was a puppy and I was 15 so I spent a lot of my formidable years with this breed. He sadly left us too soon in an accident but we reflect on our sweet dog often and it is the guiding decision to my wanting a corgi. He was so kind and playful, always wearing a smile. I do know they are very active and playful breeds. I love the herding category and to watch a corgi in its primal herding state is what I love so much about them. They are very smart and loyal. I have begun my research on this dog but will claim I am not a master but determined to learn how to best raise this new addition. I want the best for this dog and will do what I can to make him happy and thrive. I remember ours being active but requiring some breaks when we played fetch for too long. He barked but we were able to train him out of it – I plan on working with a dog trainer at CIA to help establish and grow our bond. I am an affectionate person. Im a lover through and through and I love that about this breed. The days when iolo and I would lounge on the couch were some of my most fond memories. | ||||||
Activities planned with Pembroke: |
I am a walker and I love walking up through Lincoln Park. I expect this dog to be able to walk 3-5 miles with rest as needed a couple times a week or someone to explore the city with when its nice out. I will take it to the dog park to socialize with other pups and get his energy out. I know they love to play fetch so I have already planned that for us. On days that I work I will certainly make time for a before and after shift walk – with dog walkers to come in as needed and often. | ||||||
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: |
Id respond with compassion! You have to be patient when raising a pet or human. I will do my best to maintain composure of course but Im generally a very patient person. I am a nurse and will do my best to respond with a calm approach. As Ive mentioned prior, I will be working with a trainer at CIA and am reading her book about how to raise a dog in the city so I hope to gain the knowledge from those resources to train dogs to correct mistakes in the best way to help my dog thrive. | ||||||
Discipline: |
I think a firm but compassionate approach to training dogs has worked well for my family in the past. I am determined to learn the best possible way but I won't casually bypass the importance of disciplining and training a dog the best way research has to tell us. I dont think shaming or harming a dog is appropriate, they need to trust you and not live in fear. Corgi's are intelligent and if I can work with that intelligence, I believe I can help rear the dog to not make as many mistakes. | ||||||
Where would Pembroke spend the majority of the time: |
In my apartment. I do have a balcony that I plan on setting up an "emergency" grass plot. It will just be me and the corgi most of the time. | ||||||
Discipline: |
I think a firm but compassionate approach to training dogs has worked well for my family in the past. I am determined to learn the best possible way but I won't casually bypass the importance of disciplining and training a dog the best way research has to tell us. I dont think shaming or harming a dog is appropriate, they need to trust you and not live in fear. Corgi's are intelligent and if I can work with that intelligence, I believe I can help rear the dog to not make as many mistakes. Where would Pembroke spend the majority of the time: In my apartment. I do have a balcony that I plan on setting up an "emergency" grass plot. It will just be me and the corgi most of the time. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No but I have neighbors that do not have dogs I believe | ||||||
Where would dog eat? |
I have a little nook I will be dedicating to my dog's needs that will have but its a studio so its in my apartment | ||||||
Where would dog sleep: |
He will be allowed on furniture that I will have a blanket for him but I have a bed planned out and he can sleep in my bed with me (Im getting doggie stairs for my bed) | ||||||
Play & exercise: |
I am already an active individual so on my off days I plan to plan my time around the needs of my dog including long walks that I already do on my own but with the inclusions of socialization at the local dog park. | ||||||
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: |
No, my lease does not permit dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning 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. My living arrangements include a condo building with a park around the corner from me and I live in a studio apartment with a small balcony with a high enclosure so it would be impossible for him to try and jump over (Just incase you were wondering). I want to speak to the answers above. I want to be forthcoming that I will be adopting this dog as a support animal. The building does not allow dogs openly but they honor the support animal protection. I have my doctor's support and documentation to allow for this. My landlord was the person that actually helped me discover this because I was willing to move to adopt a corgi. He does not live in the area but has consented to me that he will help out in any way to help accommodate this request. | ||||||
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 – Sara | ||||||
Willing to train children? |
I do not have children but I do have 2 nieces that will meet the dog at some point and they are very good with dogs already. But no other children will be with the dog on a regular occasion. | ||||||
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? |
N/A but yes I would | ||||||
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_3625
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/07/2021 | 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, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Other (Please describe in the box below.) |
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? |
We would like to adopt a Corgi for my husband and me as a way to start our family:-) | ||||||
Why do you want a Pembroke? |
My husband and I have had an affinity for Welsh Corgis for several years. Not only do we love their appearance but their personalities are what really draws us to this breed. From our research, we understand them to be affectionate, playful, and intelligent. We plan to have kids soon so a dog that is kid/family friend is a must. We appreciate that they are adaptable to different living situations. We also love their ability to connect with strangers. We enjoy hosting family and friends and want our guests and dog to be comfortable with one another. The two Corgis we've been exposed to personally captured our hearts instantly. One was my husband's coworker who brought her Corgi in and would take turns laying by people's feet and was so endearing. The other was one of my best friend and her husband's rescue Corgi who we had a blast playing with, taking to breweries, and snuggling with while visiting them. We also follow more Corgis on social media than an other breed and has become our nightly ritual to look through them all and watch their stories/posts imagining one day, we'll have that joy of our own. |
||||||
Activities planned with Pembroke: |
We live in a northern suburb of Chicago near Lake Michigan in a very safe neighborhood. We will take our dog on walks around the neighborhood, to local dog parks, and to the beach.
We will make sure it gets plenty of attention and playtime indoors as well with a great space to run around and chase in the basement or on the first floor which has a great circle layout that our nephew loves to run around in. |
||||||
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: |
Redirect the bad behavior towards a positive one. ie. pees in the wrong spot, show where good spot is or how to alert us. If it chews on something its not suppose to, give it a toy it can chew on, etc. | ||||||
Discipline: |
Primarily positive reinforcement and training. | ||||||
Where would Pembroke spend the majority of the time: |
Likely on the couch with us in the family room either while I work during the day or while we watch TV at night. | ||||||
Discipline: |
Primarily positive reinforcement and training. Where would Pembroke spend the majority of the time: Likely on the couch with us in the family room either while I work during the day or while we watch TV at night. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes – both my husband and I work from home and plan to have at least one of us at home every day even after COVID. | ||||||
Where would dog eat? |
In the kitchen or dining room where we would have dog bowl | ||||||
Where would dog sleep: |
In a doggy bed in our bedroom | ||||||
Play & exercise: |
We will take it on daily walks in the morning and evening. We will also incorporate playtime throughout the day in our back yard or inside on particularly cold days. | ||||||
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? |
8ft tall wood fence with gates | ||||||
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: |
Our back yard has an area of grass that runs along the back side of the house as well as some cement area for patio furniture. | ||||||
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? |
April | ||||||
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_3624
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/07/2021 | 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: |
5 years – 10 years, 10 years + | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, 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? |
This Pembroke is for Danny and Kathy | ||||||
Why do you want a Pembroke? |
We have loved all our Corgis. Sophie was the first and we had her for 14 years. After she passed we decided to adopt Senior Corgis and in the years since we have adopted Lily, Lady and most recently our dear Austin. Our house is now too empty and we are missing a Corgi Companion. I guess we love everything about them and each one has brought something new that was different then the previous one. Austin was our first male and the first one that absolutely Loved his toys. All have been a joy! | ||||||
Activities planned with Pembroke: |
We have a large fenced in back yard to play with them, we like to go for walks with our dogs, and they have also traveled with us. | ||||||
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: |
We usually chuckle, and then say ‘no no’ with lots of love. | ||||||
Discipline: |
A firm no, have rarely had to use it. | ||||||
Where would Pembroke spend the majority of the time: |
In the house | ||||||
Discipline: |
A firm no, have rarely had to use it. 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 | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
In their bed in our bedroom | ||||||
Play & exercise: |
As much as needed, we like go for walks and there are lots of squirrels and chipmunks running around in our back yard. They also like to go to Little Girls Point at Lake Superior. | ||||||
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? |
It is a 5 ft high metal (wire) fence originally put up for our daughter’s Rottweiler years ago. | ||||||
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: |
A back deck with access to the yard and the house, no pool, small flower gardens and a pole with bird feeders. | ||||||
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? |
Kathy | ||||||
Willing to train children? |
No children living in the home and grandchildren are adults | ||||||
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? |
No current 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_3623
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/06/2021 | 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, 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 (Please describe in the box below.) |
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? |
Me, myself and I | ||||||
Why do you want a Pembroke? |
Corgis to me bring so much happiness to me, and to those around me. I’ve always wanted to be able to have a companion that would be able to do that, and enjoy going on walks and enjoying the neighborhood that I live in with me. Going to the dog park/beach. | ||||||
Activities planned with Pembroke: |
Dog parks. Beach. Walks. I’m very active and I would love to take walks with my new and possibly furry corgi friends. | ||||||
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: |
Dogs are not meant to be scolded. Dogs are best trained by evidence and object based obedience training. I would always focus on correcting the mistake by ensuring positive reinforcement that is easily understood to the corgi until the new corrected behavior is learned. | ||||||
Discipline: |
This would require getting to know the corgi and their temperament, but I am a very strong believer in non-physical operant conditioning styles that I am familiar with from my background in psychology. | ||||||
Where would Pembroke spend the majority of the time: |
This would be very eclectic as I would definitely have them in the house with me while I work, but making time to go out for walks multiple times a day as well as going to the dog park/beach to have some fetch and leash time would be wonderful. I do not travel for work, however I do stay with a friend once a month or so and would bring my new friend with me | ||||||
Discipline: |
This would require getting to know the corgi and their temperament, but I am a very strong believer in non-physical operant conditioning styles that I am familiar with from my background in psychology. Where would Pembroke spend the majority of the time: This would be very eclectic as I would definitely have them in the house with me while I work, but making time to go out for walks multiple times a day as well as going to the dog park/beach to have some fetch and leash time would be wonderful. I do not travel for work, however I do stay with a friend once a month or so and would bring my new friend with me |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yep. I have been working from home for the past year and a half and am home unless I am out for groceries. | ||||||
Where would dog eat? |
In the kitchen area. I have a spot for a bowl of food and water. | ||||||
Where would dog sleep: |
I would have a corner in my bedroom that my new corgi friend would sleep in a size appropriate bed. | ||||||
Play & exercise: |
I would love my corgi to have opportunities for play. There are plenty of dog parks around me where they could go for walks and runs. | ||||||
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: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
No hous | ||||||
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 Novack | ||||||
Willing to train children? |
I do not and will not plan on having 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? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
I do not own a pet or consider getting a second companion. It would just be one corgi. | ||||||
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_3622
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/05/2021 | 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: |
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 |
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? |
For our family | ||||||
Why do you want a Pembroke? |
Nick had a corgi in a previous relationship and loves corgis so much. We would really like to have one for our family. | ||||||
Activities planned with Pembroke: |
Play in our backyard, go on walks, and play with toys. | ||||||
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: |
training and reinforcement of positive behavior | ||||||
Discipline: |
reinforcement of positive behavior | ||||||
Where would Pembroke spend the majority of the time: |
in our house wherever it would like to go | ||||||
Discipline: |
reinforcement of positive behavior Where would Pembroke spend the majority of the time: in our house wherever it would like to go |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
my husband and I work opposite days so there is usually someone home | ||||||
Where would dog eat? |
in the kitchen at it's set bowl | ||||||
Where would dog sleep: |
where it wants probably in a comfy bed at the foot of our bed | ||||||
Play & exercise: |
We have a nice big backyard and lots of dog toys to play with. We also like to take short walks in the neighberhood | ||||||
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? |
It is a 6 foot vinyl privacy fence | ||||||
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: |
our yard has 2 small trees and a small cement patio that is flat and an ac unit | ||||||
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? |
Miriam and Nick | ||||||
Willing to train children? |
yes of course! | ||||||
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 of course we will get help | ||||||
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_3621
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/04/2021 | Referred by: | Breeder | ||
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 |
Other preferences: |
Our last Corgi recently died and we are hoping to be able to find two Corgis to welcome into our family…We would like one to be a puppy but are fine with another one who is a young adult or middle aged | ||||||
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? |
The two of us…to be a family pet! | ||||||
Why do you want a Pembroke? |
We have had two Corgis from the time they were each 3 months old until their deaths at the ages of 15 and 13. We love the breed…their friendliness, energetic, but not hyper, fun-loving, smart, | ||||||
Activities planned with Pembroke: |
Hiking, walking, playing outside, quiet indoors times, | ||||||
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: |
Try to understand the reason for the mistake. Sometimes calling attention to the mistake and let him/her know what is expected instead. Sometimes redirection, training with rewards for good behavior….consistency in our training….Changing the environment for some issues….etc. | ||||||
Discipline: |
Depends on what needs to be corrected…in general..Gentle but firm corrections. Praise and other Rewards for good behavior. NO physical punishing..Generally behavior mod…..may include changes in the environment ,etc. If the problem behavior is not being helped with our approach, consult with our vet or animal behaviorists to help. | ||||||
Where would Pembroke spend the majority of the time: |
Wherever we are. We are both retired and like to spend time outside, but are often inside as well. | ||||||
Discipline: |
Depends on what needs to be corrected…in general..Gentle but firm corrections. Praise and other Rewards for good behavior. NO physical punishing..Generally behavior mod…..may include changes in the environment ,etc. If the problem behavior is not being helped with our approach, consult with our vet or animal behaviorists to help. Where would Pembroke spend the majority of the time: Wherever we are. We are both retired and like to spend time outside, but are often inside as well. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. We are retired and usually at home or enjoying the beautiful nature near us. We have a large backyard with a couple gardens and a fenced in orchard. Our. Home borders the Waterloo State Rec. area that has many trails through wooded areas where we love to walk. We live near many lakes and if our Corgi loved the water, that would be nice…but not essential. | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
Probably in our bedroom. | ||||||
Play & exercise: |
Plenty of opportunities to play and exercise!! | ||||||
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? |
A large tall orchard fence…some shaded areas. In the past we built a “Corgi playpen” in the very large garden we had in our old home in Wisconsin…this area had water dishes and toys and some additional shade. We would probably do the same here ( we have only lived in this house for 2 years.) | ||||||
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 2 acres…bordered by woods and friendly neighbors. A large fenced in orchard. We live on a dead end road across the street from a lake. A few gardens. | ||||||
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? |
Lee…but we will share the care pretty evenly | ||||||
Willing to train children? |
We will love to do that when we get grandchildren whoever that may be. | ||||||
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 | ||||||
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_3620
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/04/2021 | 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, 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? |
Myself and Son (50%) | ||||||
Why do you want a Pembroke? |
My family dog (Joey) passed away a few years ago, and my son is of the age that we are ready for him to experience his first dog. I grew up with MANY animals (mostly dogs) but Joe-Joe was by FAR the favorite. My mother works as a receptionist to a local vet, so she was always bringing her work home :). Joe lived to be 12 and was by my side until the end. I was the one to take him to obedience classes when he was a pup, so he gravitated to me the most. He learned everything SO quickly, so much that he was aloud into the advanced class well before the age requirement. He learned voice and hand commands. When I moved out, he came with me. One day I came home from work and he was just laying there…like he was waiting for me. We rushed him to the vet to discover he had a tumor on his heart. He died during surgery that day. | ||||||
Activities planned with Pembroke: |
My Joey was born in the winter months here in Michigan, so he LOVED the snow! Idk if that's common with the breed or just good timing, but he loved it. Everyday when I got home, his hearding instincts would always kick in and he would run circles around me….through my legs and around my back.
My new home has a dog park right within the community, fully equipped with ramps and tunnels and fully fenced in. Also has a nice little "shower station" to rinse and dry during muddy days. |
||||||
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: |
Taking them to the 'mistake' and firmly saying "No! Bad dog!" and expressing disappointment in my face and tone. Maybe take them outside depending on the type of mistake. Level of disappointment pending the timing of the event. If caught in the act, maybe a little more drawn out. | ||||||
Discipline: |
Positive reinforcement for good behavior. Brief shame and disappointment for bad. | ||||||
Where would Pembroke spend the majority of the time: |
Inside the home with me. I work from home most days. | ||||||
Discipline: |
Positive reinforcement for good behavior. Brief shame and disappointment for bad. Where would Pembroke spend the majority of the time: Inside the home with me. I work from home most days. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
Most likely the kitchen | ||||||
Where would dog sleep: |
Probably with me but whatever they're comfortable with. My Joey never slept with me for long…he needed his space lol. | ||||||
Play & exercise: |
Everyday, pending weather | ||||||
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: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
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? |
Michael Brodersen | ||||||
Willing to train children? |
Of course! | ||||||
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, shouldn't be a problem | ||||||
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_3619
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/04/2021 | 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, 3 years – 5 years | Gender preferred: |
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? |
Angie | ||||||
Why do you want a Pembroke? |
I love the size, personality they show. How loyal they are the there owner | ||||||
Activities planned with Pembroke: |
Walks, enjoy the outside, cuddling on couch | ||||||
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: |
Tell her that she was bad. | ||||||
Discipline: |
Kennel | ||||||
Where would Pembroke spend the majority of the time: |
With us and kennel during day while at work at first and then work to have her roam | ||||||
Discipline: |
Kennel Where would Pembroke spend the majority of the time: With us and kennel during day while at work at first and then work to have her roam |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No | ||||||
Where would dog eat? |
Kitchen | ||||||
Where would dog sleep: |
With me | ||||||
Play & exercise: |
Walk the trails, play with the gps, play outside, challenging toys | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
N O swimming pool. Cedar River is in front of our house about 2 football fields. Live out in country. Have lots of wood trails we walk daily. Live on acreage. | ||||||
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? |
Angie | ||||||
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 | ||||||
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_3618
Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/03/2021 | 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: |
Couch Potato, 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? |
Me! And my little family | ||||||
Why do you want a Pembroke? |
Corgis are my ideal dog. Perfect size with just the right working levels. I understand the medical issues they can have as they get older as well as the care in grooming etc | ||||||
Activities planned with Pembroke: |
Snuggle, fetch, tug o war, running, biking hunting etc | ||||||
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: |
Firm voice saying no and send them away from the mess | ||||||
Discipline: |
Low authorities voice and the mom look | ||||||
Where would Pembroke spend the majority of the time: |
Home with me. | ||||||
Discipline: |
Low authorities voice and the mom look Where would Pembroke spend the majority of the time: Home with me. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Most days | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
My bed | ||||||
Play & exercise: |
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? |
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Living arrangements: |
Townhome | ||||||
Landlord info: |
{If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67} | ||||||
May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
None | ||||||
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? |
Makayla | ||||||
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 | ||||||
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} |