Date & Referral Source | |||||||
State: | Date of Application: | 08/28/2017 | 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 | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Quiet, Playful |
Other preferences: |
Well behaved Gets along well with other pets |
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Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? |
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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
|||||||
Where is the dog now? |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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Dog 4 | |||||||
Dog 4 name: |
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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 had no experience with the breed; however, I have done research and am aware that corgis can have health problems. | ||||||
Activities planned with Pembroke: |
Walking/running Puzzle 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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Correct them with a firm voice and use training with praise and treats to correct the mistake | ||||||
Discipline: |
Firm voice | ||||||
Where would Pembroke spend the majority of the time: |
In my room, outside | ||||||
Discipline: |
Firm voice Where would Pembroke spend the majority of the time: In my room, outside |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No | ||||||
Where would dog eat? |
My room | ||||||
Where would dog sleep: |
My toom | ||||||
Play & exercise: |
Take him outside, three times a day | ||||||
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: |
Big yard, not fenced in | ||||||
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? |
Alyssa Johnson | ||||||
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_1366
Date & Referral Source | |||||||
State: | Date of Application: | 08/29/2017 | 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: |
Male | Color preferred: |
Red & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
The Pembroke I would adopt would have to be good with children. Even though I have no children or grandchildren, there are children in the neighborhood who loved my corgi Gizmo and would stop by just to visit him. I also live two blocks from an elementary school. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
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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? |
This Pembroke is for myself. | ||||||
Why do you want a Pembroke? |
I recently lost my 12-year old corgi Gizmo. I love the corgi's personality, their big ears, smiling face, short legs and stubby tail. I think they are the cutest dogs on the planet! | ||||||
Activities planned with Pembroke: |
I would probably walk my corgi at least twice a day, and probably take him to the dog park frequently to run and play. I also have a fenced-in yard so that he could explore outdoors. | ||||||
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: |
I would use a firm NO, remove the dog from the situation, and/or use treats to modify their behavior. | ||||||
Discipline: |
I would correct them with a firm voice or use treats or rewards to train them. | ||||||
Where would Pembroke spend the majority of the time: |
My Pembroke would spend his time in my house or out walking or in my fenced-in yard or at the dog park. | ||||||
Discipline: |
I would correct them with a firm voice or use treats or rewards to train them. Where would Pembroke spend the majority of the time: My Pembroke would spend his time in my house or out walking or in my fenced-in yard or at the dog park. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Because I am retired, I am at home during the day. | ||||||
Where would dog eat? |
My adopted corgi would eat in the kitchen. | ||||||
Where would dog sleep: |
My adopted corgi would sleep next to my bed in a dog bed or in a kennel if that's what he would prefer. | ||||||
Play & exercise: |
I would walk my corgi twice a day, let him run in my fenced-in yard, and take him to the dog park frequently. | ||||||
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? |
I have a 4-foot high chain link fence with a gate at the front and a gate at the back.. It measures about 18 feet by 36 feet. | ||||||
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: |
I have a smallish front yard and a deep back yard with no pool and a line of evergreens at the back of the property. | ||||||
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? |
I would be responsible for caring for the corgi. | ||||||
Willing to train children? |
I do not have children, but I am willing to teach any children that might come into my home how to treat animals respectfully and humanely. | ||||||
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, I would be willing to try to resolve the problem if I would adopt any other pets in the future. | ||||||
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_1365
Date & Referral Source | |||||||
State: | Date of Application: | 08/27/2017 | 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: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
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? |
Myself | ||||||
Why do you want a Pembroke? |
I think they are adorable! I love how active and curious they can be! | ||||||
Activities planned with Pembroke: |
Going on walks, playing outside, taking them places with me and making them some dog 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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Tell them no and show them what to do. Like going outside to use the bathroom | ||||||
Discipline: |
If i catch them doing something wrong, distract them from doing it, tell them no and place them in the kennel for a little while. | ||||||
Where would Pembroke spend the majority of the time: |
Around the house with me | ||||||
Discipline: |
If i catch them doing something wrong, distract them from doing it, tell them no and place them in the kennel for a little while. Where would Pembroke spend the majority of the time: Around the house with me |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
The best dog food recommended by the vet | ||||||
Where would dog sleep: |
In my room with me | ||||||
Play & exercise: |
I will take it on walks daily, play with it and take it to friends houses to socialize with their dogs. | ||||||
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: |
1.5 acre with large front yard and med size back yard with a small amount of woods. Back patio and flower bed | ||||||
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? |
Kandice Van Winkle | ||||||
Willing to train children? |
Yes, when we have kids | ||||||
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 | ||||||
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_1364
Date & Referral Source | |||||||
State: | Date of Application: | 08/27/2017 | 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: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
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? |
Myself | ||||||
Why do you want a Pembroke? |
I think they are adorable! I love how active and curious they can be! | ||||||
Activities planned with Pembroke: |
Going on walks, playing outside, taking them places with me and making them some dog 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: |
|||||||
Will handle mistakes Pembroke makes like this: |
Tell them no and show them what to do. Like going outside to use the bathroom | ||||||
Discipline: |
If i catch them doing something wrong, distract them from doing it, tell them no and place them in the kennel for a little while. | ||||||
Where would Pembroke spend the majority of the time: |
Around the house with me | ||||||
Discipline: |
If i catch them doing something wrong, distract them from doing it, tell them no and place them in the kennel for a little while. Where would Pembroke spend the majority of the time: Around the house with me |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
The best dog food recommended by the vet | ||||||
Where would dog sleep: |
In my room with me | ||||||
Play & exercise: |
I will take it on walks daily, play with it and take it to friends houses to socialize with their dogs. | ||||||
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: |
1.5 acre with large front yard and med size back yard with a small amount of woods. Back patio and flower bed | ||||||
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? |
Kandice Van Winkle | ||||||
Willing to train children? |
Yes, when we have kids | ||||||
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 | ||||||
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_1363
Date & Referral Source | |||||||
State: | Date of Application: | 08/26/2017 | 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 | Gender preferred: |
Male | 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 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! I am a 55 year old woman ~ I live and work at my business address. My flower shop is on the main floor, and I live upstairs. I have a greenhouse outside and a large garden lot (plenty of room for play) I just lost my beloved 13 year old Bud recently and I miss him so!! My dog is with me 24/7 and goes to work with me everyday. Corgis love delivering and playing the garden and hanging out in the greenhouse. No tail is great for working in the flower shop as he won't knock things over:) Please consider me ~ My apartment is too clean and my heart is too empty:( | ||||||
Why do you want a Pembroke? |
I could love any dog, but a Corgi is just my kind of dog! Bud became very expensive, scratched corneas, hip issues, enlarged heart ~ no expense was spared. I have no children, so my dog is my child. | ||||||
Activities planned with Pembroke: |
Working, walking, playing, cuddling and socializing ~ he would be with me ALWAYS, never alone! | ||||||
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: |
raised voice | ||||||
Discipline: |
raised voice | ||||||
Where would Pembroke spend the majority of the time: |
With me!! ALL THE TIME!! | ||||||
Discipline: |
raised voice Where would Pembroke spend the majority of the time: With me!! ALL THE TIME!! |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
He would go to work with me. | ||||||
Where would dog eat? |
His food station in my entry way | ||||||
Where would dog sleep: |
On the floor next to my bed ~ I won't allow in bed, for fear of injury on dismount. | ||||||
Play & exercise: |
I work outside the better part of the day in the summer and at least a 15 minute walk daily. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
Fenced yard? |
No, I don’t have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
|||||||
Living arrangements: |
own – live above my business | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Large garden lot, that I own right next to me. No pools, exept a baby pool for him and the hose that corgis love so much! | ||||||
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? |
diana Spiekermeier | ||||||
Willing to train children? |
Not an issue, but of course | ||||||
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? |
Not an issue, but of course | ||||||
Lifetime commitment to Pembroke? |
Yes, I am willing to commit to this dog for the rest of its life. | ||||||
Return to Lakeshore if unable to care for Pembroke? |
Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it. | ||||||
Understand no guarantees? |
Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt. | ||||||
Carefully considered the pluses and minuses of adopting a pet? |
Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences. | ||||||
Personal references: |
Untitled_1362
Date & Referral Source | |||||||
State: | Date of Application: | 08/27/2017 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Sable & White | Activity level: |
Playful, Energetic |
Other preferences: |
Please remember- just because I listed that I have a form of autism, I hope that doesn't lessen my chances of adopting a corgi. I have loads of love to give. I love animals more so than people, for the fact that you can count on them to be there when you need them. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? |
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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? | |||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
This corgi would be for myself. I live alone in a two bed, two bath ranch in the country. I live right across from the Ripon Southwoods, which is a hiking trail. I live by myself, my two sons are grown, and I am 51. I would walk my corgi at least 2-3× a day, for 20-30 minutes or so. The corgis living quarters would be on the main floor, in my second living room area. I am receiving disability payments of $804 per month. I am actively looking for a job. My disability isn't physical, I have Ausbergers, a mild form of autism. | ||||||
Why do you want a Pembroke? |
My younger son's Dad had one, and it was the sweetest dog on the earth. I've been in love with them since. (Since about 2010) | ||||||
Activities planned with Pembroke: |
Walks, playing tug-of-war with chew toys, fetch, Chase me games, 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: |
Be firm, strong, but not overbearing. | ||||||
Discipline: |
Stern voice commands with steady eye gaze. Also, hand movements/motions for sit, stay, come,etc. |
||||||
Where would Pembroke spend the majority of the time: |
By me, wherever I am. Either in my house, or outside running and playing. | ||||||
Discipline: |
Stern voice commands with steady eye gaze. Also, hand movements/motions for sit, stay, come,etc. Where would Pembroke spend the majority of the time: By me, wherever I am. Either in my house, or outside running and playing. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Myself. | ||||||
Where would dog eat? |
Inside. | ||||||
Where would dog sleep: |
In my second living room. On her/his own blanket and pillow. | ||||||
Play & exercise: |
I will walk my corgi at least 2-3 times a day, for up to 30 minutes or more. My corgi will get constant, daily exercise. | ||||||
How will you exercise your dog? |
On leash | ||||||
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? |
Black wrought-iron heavy duty fencing with a gate that opens and shuts. | ||||||
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: |
Large, wooded tree lined yard on .60/acre. Country setting. | ||||||
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? |
Marie Zuber | ||||||
Willing to train children? |
My two sons are adults who don't have any kids. | ||||||
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. My guinea pigs have their own bedroom. | ||||||
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_1361
Date & Referral Source | |||||||
State: | Date of Application: | 08/26/2017 | 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: |
Female | Color preferred: |
Red Headed Tri | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
|||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? |
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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? | |||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
http://www.clarkeanimalhospital.net/ Rosalind and Robert Mayberry |
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Why do you want a Pembroke? |
We have had dogs all of our lives, both of us as in our growing up families and we have always had dogs in our married life together. Our last 2 dogs were corgis, the most recent from Lakeshore Corgi Rescue. Corgis are magical–loving, smart, funny, hard working, helpful. I believe I have read almost everything written on these amazing creatures. | ||||||
Activities planned with Pembroke: |
Play, walk, cuddle, talk to, read to, sing to, find jobs for… | ||||||
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: |
I have found that a stern quiet "no" has always worked for me. I hate to use the crate for time out because both of our corgis seemed to think the crate was their "space." | ||||||
Discipline: |
Firm, quiet voice only. | ||||||
Where would Pembroke spend the majority of the time: |
In the house with us. We do have an enclosed dog yard, but usually I stay outside with her or leave the door into the yard pen so she can come or go as she pleases. | ||||||
Discipline: |
Firm, quiet voice only. Where would Pembroke spend the majority of the time: In the house with us. We do have an enclosed dog yard, but usually I stay outside with her or leave the door into the yard pen so she can come or go as she pleases. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
in the crate with the door open | ||||||
Where would dog sleep: |
First corgi slept on the foot of the bed. Most recent corgi did not like to. She slept on the floor right beside the bed or in a lounge chair in the bedroom. Sometimes in the day she went into her crate to sleep | ||||||
Play & exercise: |
Frequent daily walks on the leash. Several sessions of tossing and pulling everyday. | ||||||
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 rectangular area along the length of the house with the back door inside the fenced in area, about 4-1/2' high, sturdy fencing. | ||||||
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: |
Large corner lot with wild flower garden and trees at the back, side yard fenced in for dog. | ||||||
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? |
Rosalind Mayberry | ||||||
Willing to train children? |
Yes. of course, but we do not have young children nor do we have grandchildren but I always take time with children to teach them how to be gentle with animals. | ||||||
Any allergies? |
One or more family members might be allergic to dogs. | ||||||
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, of course. We do not have other pets, although our daughter and her husband's Golden Doodle, Lucy, is frequently at our house in the evening when they are working. | ||||||
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_1360
Date & Referral Source | |||||||
State: | Date of Application: | 08/26/2017 | 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 | Gender preferred: |
Female | Color preferred: |
Sable & White | Activity level: |
Other (Please describe in the box below.) |
Other preferences: |
|||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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How long owned? |
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Where is this dog now? |
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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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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 love the breed because they are extremely friendly and make good man's best friend. | ||||||
Activities planned with Pembroke: |
Take her on walks and car rides | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
Money for basic care? |
Yes | ||||||
Money for unforeseen medical expenses? |
Yes | ||||||
Willing to house train? |
Yes Willing to do formal training? No |
||||||
Do you have a veterinarian? |
Yes | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
Verbally scolding | ||||||
Discipline: |
A small swat on the butt | ||||||
Where would Pembroke spend the majority of the time: |
Inside or out. I have a large yard w/ an invisible fence | ||||||
Discipline: |
A small swat on the butt Where would Pembroke spend the majority of the time: Inside or out. I have a large yard w/ an invisible fence |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Sometimes | ||||||
Where would dog eat? |
Purina kibble | ||||||
Where would dog sleep: |
In a kennel or on my bed | ||||||
Play & exercise: |
AS much as possible. My one Corgi runs outside whenever someone walks by or on a bike | ||||||
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: |
Large unfenced yard with an invisible fence and I will walk the dog around so it learns the boundries | ||||||
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 Axelrod | ||||||
Willing to train children? |
I don't have any children but anyone that comes to my house treats my dog kindly | ||||||
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_1359
Date & Referral Source | |||||||
State: | Date of Application: | 08/25/2017 | 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: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
Open | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
|||||||
Where is this dog now? | |||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
The family | ||||||
Why do you want a Pembroke? |
We have had 3 corgi's and just love them. | ||||||
Activities planned with Pembroke: |
Be part of the family | ||||||
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: |
Calm and firm | ||||||
Discipline: |
The word No, | ||||||
Where would Pembroke spend the majority of the time: |
With us all around the house | ||||||
Discipline: |
The word No, Where would Pembroke spend the majority of the time: With us all around the house |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes wife Sylvia | ||||||
Where would dog eat? |
Whatever the vet recommends. | ||||||
Where would dog sleep: |
Bedroom | ||||||
Play & exercise: |
Large fenced in yard, children 15 & 18. We love to walk. | ||||||
How will you exercise your dog? |
On leash | ||||||
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? |
Wood 6 ft | ||||||
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: |
Large fenced in yard, deck no 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? |
Sylvia | ||||||
Willing to train children? |
Yes they have cared with us with. All our corgi's. Brushing, nails etc. | ||||||
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_1358
Date & Referral Source | |||||||
State: | Date of Application: | 08/24/2017 | 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, 5 years – 10 years, 10 years +, Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
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? |
My mother and myself. | ||||||
Why do you want a Pembroke? |
I love the friendly and intelligent nature of the dog. Having encountered a neighbor's Corgi, I was struck by its beautiful coat and its surprisingly levels of energy. I know that Corgis require a great deal of attention and affection. I am ready to match its levels of high energy by walking with it as much as necessary. | ||||||
Activities planned with Pembroke: |
Daily walks during the day and night. Occasionally running around the dog park. Training it to handle its bark and curiosity. | ||||||
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 wouldn't discipline it, but rather reward positive behavior. If in the middle of a negative behavior, I would clap loudly to distract it. | ||||||
Discipline: |
Positive reinforcement is ideal. Trying to associate negative behavior with a negative action. | ||||||
Where would Pembroke spend the majority of the time: |
Inside the house, but with free roam of the area. | ||||||
Discipline: |
Positive reinforcement is ideal. Trying to associate negative behavior with a negative action. Where would Pembroke spend the majority of the time: Inside the house, but with free roam of the area. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes there are, as my mother will soon be retiring. | ||||||
Where would dog eat? |
In the kitchen, with a special food and water bowl. | ||||||
Where would dog sleep: |
In a pet bed, most likely near one of our adult beds. | ||||||
Play & exercise: |
My mother and I take daily walks at night, so this is a great opportunity to bring it along for exercise. I will take our Corgi to the dog park on occasion, making sure that it has the ability to run around a fenced area. I will make sure to satisfy our dogs energy needs. | ||||||
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: |
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Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
I live in a townhouse, unfortunately this doesn't include a yard. | ||||||
Household members: |
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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? |
Daniel Bai | ||||||
Willing to train children? |
Not applicable, as there are no children in the household for the foreseeable future | ||||||
Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
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Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Not Applicable. | ||||||
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: |