| Date & Referral Source | |||||||
| State: | Date of Application: | 12/08/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| 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, Either a Male or a Female | Color preferred: |
Black Headed Tri, Sable & White, Any color | Activity level: |
Couch Potato, Playful, Energetic, Other (Please describe in the box below.) |
Other preferences: |
|||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
First applicant, Martiyana, will be primary owner. She is experienced with dogs having owned two previously. | ||||||
Why do you want a Pembroke? |
I have never owned a corgi of my own before, but I have a close friend who has one and I just adore how much personality they have! They seem to be such a darling breed and I would love to own one of my own someday. I have done a great amount of research on the breed and realize that every dog is different, but their generally fun, playful, and loving temperaments are exactly what I’m looking for in a dog. | ||||||
Activities planned with Pembroke: |
I love taking my current dog for walks, but as he grows older he’s not enjoying them as much anymore, As such, I would love to have a dog who can go for walks, play fetch with me, and just cuddle up after a long 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: |
|||||||
Will handle mistakes Pembroke makes like this: |
I believe in strictly positive reinforcement training for dogs. If my dog makes a mistake, I tend to quickly redirect them into doing what is right. For example, during house training, if I see my dog committing the act of doing their business indoors, I will quickly take them outside instead and give them a reward every time they do it outside, Or if the dog was chewing on furniture, a quick fix would be to redirect its attention to a toy. If they make a mistake while I am not around, I will simply ignore it and fix it as dogs do not understand delayed punishment at all. | ||||||
Discipline: |
I do not use any kind of punishment with my dogs. Positive reinforcement and distractions from the problem only, | ||||||
Where would Pembroke spend the majority of the time: |
They would spend most of the time roaming the house as they please, playing or cuddling with me, or out in the backyard. | ||||||
Discipline: |
I do not use any kind of punishment with my dogs. Positive reinforcement and distractions from the problem only, Where would Pembroke spend the majority of the time: They would spend most of the time roaming the house as they please, playing or cuddling with me, or out in the backyard. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, there is usually almost always at least one person home at all times. | ||||||
Where would dog eat? |
In the kitchen from specified dog bowls. | ||||||
Where would dog sleep: |
In a crate with a dog bed or with me depending on the dog’s own preferences. | ||||||
Play & exercise: |
Toys, walks, going out in the backyard, and playing with me. They will be able to get as much exercise as their energy allows I believe. | ||||||
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? |
The front of it is a wire fence while the back is wooden, | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
My yard has a patio and a garage. It has plenty of grass and a single concrete walkway. | ||||||
Household members: |
|||||||
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? |
Martiyana Garfield | ||||||
Willing to train children? |
N/A, no children in household, | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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 will always do my best to assure that the animals at least get along. If problems arise, I will seek advice, as I have yet to experience a dog not getting along with my current 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: |
|||||||
Untitled_2136
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/07/2018 | Referred by: | Other | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
Any age | 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 description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Myself, My dog recently passed away and I've always wanted a Corgi, ready to give one a home. | ||||||
Why do you want a Pembroke? |
I have looked into this breed. I love their playful energy and the way there legs are so little, I've never fallen in love with the look of an animal until I saw a Corgi. | ||||||
Activities planned with Pembroke: |
They would be my best friend. I would take them on walks, take them shopping with me, go up north over the summers with them. Basically anything I do they'll be doing with me. | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Depends on the situation. I would show the dog what they did and tell them no and then tell them to go lay down. | ||||||
Discipline: |
No yelling or hitting but making sure the dog knew what they did was wrong and make it lay down for a few minutes. | ||||||
Where would Pembroke spend the majority of the time: |
With me in my housse | ||||||
Discipline: |
No yelling or hitting but making sure the dog knew what they did was wrong and make it lay down for a few minutes. Where would Pembroke spend the majority of the time: With me in my housse |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
yes | ||||||
Where would dog eat? |
in the kitchen or mud room | ||||||
Where would dog sleep: |
my room | ||||||
Play & exercise: |
everyday for atleast a couple hours. will go on my morning runs with me | ||||||
How will you exercise your dog? |
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? |
I will be putting one up soon, | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
just a backyard, nothing in it | ||||||
Household members: |
|||||||
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 Wiggins | ||||||
Willing to train children? |
yes but i currently have none | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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: |
|||||||
Untitled_2135
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/06/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Quiet |
Other preferences: |
I have 3 cats and a 110lb lab/meatball who loves other dogs but would do better with a lower engery dog like herself. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Me | ||||||
Why do you want a Pembroke? |
Smart and not too high energy level dog. Affectionate and hearty. | ||||||
Activities planned with Pembroke: |
Walks 5 days a week average. Dog park possibly? | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
A negative noise | ||||||
Discipline: |
A negative noise or distraction by a noise | ||||||
Where would Pembroke spend the majority of the time: |
Home, I work part time only | ||||||
Discipline: |
A negative noise or distraction by a noise Where would Pembroke spend the majority of the time: Home, I work part time only |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I work part time and have teenagers home in the summer. I also have a neighbor who let's zelly out if necessary. | ||||||
Where would dog eat? |
Like my dog in her crate with the door open. For positive association, like zelly does. | ||||||
Where would dog sleep: |
Since zelly is too big to sleep with us it doesn't seem fair that my corgi would be able to sleep with us just bc it's smaller, so likely with zelly on the couch. | ||||||
Play & exercise: |
Walk 5x a week usually. Sometimes a dog park or indoor swimming in the winter occasionally. | ||||||
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? |
Invisible | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
1.5 acre lot, open, prairie like, flat, virtually treeless. | ||||||
Household members: |
|||||||
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? |
Blythe, me | ||||||
Willing to train children? |
Absolutely | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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: |
|||||||
Untitled_2134
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/05/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| 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: |
Quiet, Playful, Energetic |
Other preferences: |
Our dog will be walked daily, but we have a small unfenced yard, so a dog on the high end of the range would probably not be suited for us. On the other hand, our ultimate goal would be that our dog would be trained appropriately to be a true service dog and be able to accompany Cierra most anywhere where she goes, so the dog would need to be able to keep-up. |
||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Cierra Campbell, age 13. I (Nancy) am Cierra's grandmother and guardian. Cierra has problems with depression and anxiety issues. We plan to work with a professional trainer on a weekly basis for 12-18 months so that Cierra's PWC will be able to serve as a service or support dog for her. | ||||||
Why do you want a Pembroke? |
Cierra and I have done a good deal of research about small dogs appropriate as psychiatric service dogs, and PWC are on most of the lists. Their activity level and ease-of-training fit our needs well. Their long lifespan is a plus. We are a bit concerned about grooming and shedding, but understand that daily grooming will be needed. | ||||||
Activities planned with Pembroke: |
We hope that our PWC will become a service dog for Cierra. We realize that at some point, we may need to make the decision to stop working with the dog on being a service dog and accept the dog as wonderful pet. Even if we don't reach our lofty goal, we think the breed would be a perfect companion and emotional support dog for Cierra. The same trainer that we will be working with also trains dogs to be therapy dogs. I'm a librarian; so I see a possible career for our PWC in the library field 🙂 | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
I'm not expert- that's why we will be turning to a professional trainer for advice- but I'd assume firmly and promptly, looking to convey disapproval without anger. | ||||||
Discipline: |
I've not had a dog in many years. My last dog, Hank, was a well behaved I adopted through Mixed-up-Mutts. I don't really remember doing much in the way of training; I probably just got lucky. I have a husband and granddaughter living in home now, so I'm sure we will be much more deliberative in our training. | ||||||
Where would Pembroke spend the majority of the time: |
In our home. Ideally, he/she would be able trained enough to begin accompanying Cierra on outings to library, church, counseling appointments etc within first year. Eventually, accompanying her to school will be something we will need to discuss as we get closer. | ||||||
Discipline: |
I've not had a dog in many years. My last dog, Hank, was a well behaved I adopted through Mixed-up-Mutts. I don't really remember doing much in the way of training; I probably just got lucky. I have a husband and granddaughter living in home now, so I'm sure we will be much more deliberative in our training. Where would Pembroke spend the majority of the time: In our home. Ideally, he/she would be able trained enough to begin accompanying Cierra on outings to library, church, counseling appointments etc within first year. Eventually, accompanying her to school will be something we will need to discuss as we get closer. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I leave for work around 9am; Cierra and my husband are home by 3pm. I work just 5 minutes from home so would probably take lunch break around noon each day to let dog out mid-day. | ||||||
Where would dog eat? |
Most likely in the kitchen. | ||||||
Where would dog sleep: |
In Cierra's room, beside her bed. Cierra has trouble with sleep and lots of nightmares, so having her dog there where she can snuggle briefly then get back into bed seems ideal. | ||||||
Play & exercise: |
The daily walks will be necessary for dog and therapeutic for Cierra. Regular exercise is shown to be equally effective for depression as most anti-depressants. More extensive play/exercise will be weekly; we live within walking distance of a large park and a 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: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
It is small and unfenced; maybe 200×50. There is a large graveled area in part of the yard that will likely be the "potty place." Fortunately, we live in a very walkable neighborhood. | ||||||
Household members: |
|||||||
Everyone in household agrees about adopting a corgi? |
No, some members of the family do not want 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? |
Cierra Campbell | ||||||
Willing to train children? |
Yes. Cierra has always loved animals and they have always been in her life until she came to live with me 18 months ago. She will be going to training weekly with the dog and learning alongside him/her. | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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 we do not have any pets at this time. | ||||||
|
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: |
|||||||
Untitled_2133
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/06/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| 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, Playful, Energetic |
Other preferences: |
Must be okay with cats and other dogs. We currently have resident cat who would likely just like to coincide next to the dog, not be a playmate. We do understand that training will be our responsibility to ensure both the dog and the cat understand what’s expected. We also anticipate having another dog in the future and have many friends with dogs who bring them to our home when they visit. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
The future pembroke would be an addition to our family. | ||||||
Why do you want a Pembroke? |
We love how social, playful, and active the breed is. Karl and I are active outdoors people who love to take walks and get outside. We are looking for a family dog who is also intelligent and trainable – something corgis are well known for! Depending on if this pup would be the right fit, I would consider training him/her to be a therapy dog. I currently work in a hospital setting and would love to come on my off days as a volunteer and therapy dog. We also have a corgi on our neighborhood block and would love to add another! | ||||||
Activities planned with Pembroke: |
We have a fenced in yard perfect for running and playing fetch. We also live 1.5 blocks from Minneapolis’s extensive trail system where we already do plenty of runs and walking and would love to incorporate a corgi into our routine. | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Establishing discipline by using our voice to stop the unwanted behavior and avoid giving the dog attention when they misbehave. We would also be consistent with handling behaviors to avoid creating confusion for the dog on what is appropriate. | ||||||
Discipline: |
Positive reinforcement of good behaviors with use of treats and praise. Quickly disciplining undesirable behaviors as specified about and remaining consistent with them. Obedience training would also be mandatory. | ||||||
Where would Pembroke spend the majority of the time: |
At our home | ||||||
Discipline: |
Positive reinforcement of good behaviors with use of treats and praise. Quickly disciplining undesirable behaviors as specified about and remaining consistent with them. Obedience training would also be mandatory. Where would Pembroke spend the majority of the time: At our home |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Jeanine works 3 days/week (12 hr days) so is home most of the week. Karl works 8-4:30pm Mon-Fri with a flexible schedule allowing him to stop home during the day if needed. | ||||||
Where would dog eat? |
Food placed in kitchen | ||||||
Where would dog sleep: |
Would sleep in bedroom with us | ||||||
Play & exercise: |
We have a fully fenced in yard to play in, trails nearby, and are often home to give our corgi attention, love, and exercise. They would get daily 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? |
Double gated fence (similar to dog parks) that is fully fenced in. Fence is approx 6ft high | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
Fully fenced in back yard that is double gates on both front sides of the house. There is also a platform deck that extends the length of the house. There is a large ash and birch tree to provide shade. No swimming pool! | ||||||
Household members: |
|||||||
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? |
Jeanine Meyer | ||||||
Willing to train children? |
Yes | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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: |
|||||||
Untitled_2132
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/05/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Other (Please describe in the box below.) |
Other preferences: |
I have had Australian Shepherds but other members of my family have had Corgis. Im use to there working instincts. I show horses nationally so my dogs travel with me. I only ever have 1 dog at a time so they have my conztant attention. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Myself | ||||||
Why do you want a Pembroke? |
I have been around Corgis and Australian Shepherds all my life. I mainly have had Aussies while other members of my family have had Corgis. I lost my Aussie in May and havent replaced him. He was such q special dog and i am afraid i would compare another one to him. So i decided i would do a Corgi. So no comparison issues. I love the corgis. Many of my horse show family have them. | ||||||
Activities planned with Pembroke: |
I walk /run daily so he would go with me. The dog would travel with me . Be my companion to the horse shows. If i was gone for work or where i could not take him, i have 2 individuals who will come to my house and stay with my dog. I never use kennels, not that theres anything wrong with them. But i feel that its bad enough to have their owner gone and they need stability and comfort so a kennel just ads to the anxiety. They would stay in their own home with their own things. | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Every animals different. So depends. But showing they what he did wrong. Cage time(timeout). Working with them to help them understand they right way or better way. Alternative ways to correct the problem | ||||||
Discipline: |
Time outs. Finding ways to correct the problems. | ||||||
Where would Pembroke spend the majority of the time: |
With me in my home. There would be a cage for them to sleep in if they choose. Other wise they would have the run of the house. But always with me. | ||||||
Discipline: |
Time outs. Finding ways to correct the problems. Where would Pembroke spend the majority of the time: With me in my home. There would be a cage for them to sleep in if they choose. Other wise they would have the run of the house. But always with me. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No | ||||||
Where would dog eat? |
In my house out of their bowls | ||||||
Where would dog sleep: |
In my house in their own bed or with me | ||||||
Play & exercise: |
As i stated i walk/run daily. He would have a daily routine of exercise with me. There would also be playtime outside weather permitting | ||||||
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: |
Rent/lease home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
I live in a duplex | ||||||
Household members: |
|||||||
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? |
Dan Northcutt | ||||||
Willing to train children? |
No Children | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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 | ||||||
|
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: |
|||||||
Untitled_2131
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/05/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| 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: |
Female | Color preferred: |
Red & White | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
|||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
family | ||||||
Why do you want a Pembroke? |
to give her a wonderful loving home along with Ella | ||||||
Activities planned with Pembroke: |
hiking, swimming and back yard fub | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Tell NO and correct the issue | ||||||
Discipline: |
Voice | ||||||
Where would Pembroke spend the majority of the time: |
in the house with Ella | ||||||
Discipline: |
Voice Where would Pembroke spend the majority of the time: in the house with Ella |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Step daughter age 22 on weekends and works from home on Fridays | ||||||
Where would dog eat? |
in the kitchen | ||||||
Where would dog sleep: |
I would like to say in a dog bed in the bedroom, but most likely in bed with Ella and myself | ||||||
Play & exercise: |
believe me she will get plenty of exercise with Ella | ||||||
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: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
1.3 acres lawn and wooded | ||||||
Household members: |
|||||||
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? |
richard jablonski | ||||||
Willing to train children? |
n/a | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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? |
oh 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: |
|||||||
Untitled_2130
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/04/2018 | Referred by: | Other | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| 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: |
We live in a town home and do not have a fenced yard, but my parents who live across the street do, and our past dog had a lot of freedom to play in their back yard. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
David and me – we are a couple in their 50's. We had a very successful rescue corgi placement from Ohio Valley (we have applied to them for another as well – but we understand just how rare adoptable corgis are) for five years, Shelby came to us at age 9 and died in the spring at 14. | ||||||
Why do you want a Pembroke? |
We love the big dog attitude and feel in a smaller body that works well in our town home. We also love the intelligence and curiosity of the breed. I am Welsh by birth, so that is a draw too. We are highly familiar having been successful rescue owners for the past five years | ||||||
Activities planned with Pembroke: |
Walks daily, play daily, and time visiting my parents. Also all the necessary dog things of baths, vet visits etc. Our last dog really liked car rides so we might do that, depending on the new one. | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Verbal correction, removal of the temptation/cause, reducing the likelihood of it happening again by doing our side of it (not leaving food on a low surface for instance), removal of the dog from the situation, exposure of the dog in a controlled way to the situation (say other dogs if he was aggressive) with leash and direct control | ||||||
Discipline: |
Verbal and removal primarily. we will use a leash to control behavior when needed | ||||||
Where would Pembroke spend the majority of the time: |
At our house | ||||||
Discipline: |
Verbal and removal primarily. we will use a leash to control behavior when needed Where would Pembroke spend the majority of the time: At our house |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
We both work fulltime. For our past corgi we had a regular dog walker who came at around 1 pm daily for a 30 minutes walk. It worked well. We are home until about 8:30 in the morning, and back by 5:30 | ||||||
Where would dog eat? |
A healthy dog food as recommended by our vet. The last corgi had food related skin allergies so he was on a special diet. | ||||||
Where would dog sleep: |
in our bedroom – our last corgi had a bed in our room and it worked well | ||||||
Play & exercise: |
We want a dog because we are missing this part of our life, we would walk 3-4 times daily and lots of play | ||||||
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? |
The fenced in yard is actually across the street at my parent's house – it is fenced around with a solid gate. Shelby enjoyed it and was well restrained by it. He did not ever escape. we would closely watch a new dog to check that he was well restrained too | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
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: |
|||||||
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? |
David Owen-Cruise | ||||||
Willing to train children? |
No children in our direct lives – but we have found that other children are very attracted to the corgi (his height and teddybearishness I think) and so we worked with Shelby to be gentle and responsive | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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 – 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: |
|||||||
Untitled_2129
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/03/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| 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 preferences: |
|||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
My family. | ||||||
Why do you want a Pembroke? |
My daughter, who is 13, fell in love with Corgis a few years ago. We have a few in our town that we see on a regular basis. They are loving, fun, adorable dogs and the perfect size for our family. We love their playfulness and desire to be part of our family. | ||||||
Activities planned with Pembroke: |
We are very active, so we would take him/her on walks, swimming, playing fetch in the yard (which is fenced in), and we have a dog park that he/she would love 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: |
|||||||
Will handle mistakes Pembroke makes like this: |
correction and positive reinforcement | ||||||
Discipline: |
always positive reinforcement. We use repetitive commands and treat rewards. | ||||||
Where would Pembroke spend the majority of the time: |
At our home. My husband is home during the day and me and the kids are home at night. We have a mixed schedule. | ||||||
Discipline: |
always positive reinforcement. We use repetitive commands and treat rewards. Where would Pembroke spend the majority of the time: At our home. My husband is home during the day and me and the kids are home at night. We have a mixed schedule. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
We have all the food and water in our laundry room. | ||||||
Where would dog sleep: |
In our bedroom on a comfy rug. | ||||||
Play & exercise: |
Walks, playing in the back yard. Daily. | ||||||
How will you exercise your dog? |
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 white, 5-foot high (approx.) picket fence. | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
We have a large fenced in yard. There is a fire pit and some gardens and trees. | ||||||
Household members: |
|||||||
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? |
Simone Kozminski | ||||||
Willing to train children? |
Yes, of course! | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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: |
|||||||
Untitled_2128
| Date & Referral Source | |||||||
| State: | Date of Application: | 12/03/2018 | Referred by: | Other | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Quiet, Playful |
Other preferences: |
We do have indoor cats and rabbits as well, so any dog we take home would need to be ok with them. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Our family. | ||||||
Why do you want a Pembroke? |
We've had a corgi in the past and we miss having a clever, goofy little cuddle monster in the house. We owned our previous corgi for 7 years until he passed this autumn, and prior to his adoption had done extensive research before taking him home. He was silly and sweet and was incredibly good with the cats and rabbits in the household. | ||||||
Activities planned with Pembroke: |
Couch cuddling, walks to the park, training classes, playtime. | ||||||
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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Depends on the situation. I tend to ignore bad behavior and encourage good behavior. Accidents in the house are cleaned up but not punished. | ||||||
Discipline: |
Positive reinforcement & clicker training. | ||||||
Where would Pembroke spend the majority of the time: |
In the house. | ||||||
Discipline: |
Positive reinforcement & clicker training. 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? |
Most days of the week one of us is home during the day. | ||||||
Where would dog eat? |
In the kitchen. | ||||||
Where would dog sleep: |
In their crate or by our bed. | ||||||
Play & exercise: |
We live a block away from our local park, and a few miles from a large off-leash dog park/hiking trail. We also have a medium sized back yard that they would be allowed supervised playtime in. | ||||||
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: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
Back yard is only partially fenced, containing a compost pile, several trees, and will eventually host a chicken coop in the future. We had plans to finish fencing the back yard until our last dog passed away. | ||||||
Household members: |
|||||||
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? |
Elizabeth Allen | ||||||
Willing to train children? |
In the unlikely event that I have a child, they will be trained to care for all animals. | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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? |
If possible I will always attempt to resolve issues between the pets. The only reason I would return the dog would be if he caused extreme stress or presented a danger to the pets already in the home. | ||||||
|
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: |
|||||||