| Date & Referral Source | |||||||
| State: | Date of Application: | 07/27/2017 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| 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: |
Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
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| 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 | |||||||
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Who is this dog for? |
It is for our family. We currently have our 3 year old rescued German Shepherd x Border Collie, Finley, and we are looking to finally expand our family. We foster with 2 different agencies here in the twin cities and excited about getting our own 2nd dog. Finely is dying for a forever friend! | ||||||
Why do you want a Pembroke? |
We love our border collie and his working dog mentality and behavior. We love how he is a family and people dog and we see those traits and behaviors in the Corgi. The looks and body type first attracted us to it, and as we investigated further, we realized it is the perfect fit for us. Our dog loves to pal around with and play with smaller dogs and girls especially, so it is a great fit for him too. | ||||||
Activities planned with Pembroke: |
Walks Off leash dog park Catch Flyball |
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Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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Money for basic care? |
Yes | ||||||
Money for unforeseen medical expenses? |
Yes | ||||||
Willing to house train? |
Yes Willing to do formal training? Yes |
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Do you have a veterinarian? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
Correct behavior through training and make a note to train her continuously – recreate the situation to continue training | ||||||
Discipline: |
Stern no Distract from behavior Treat train into sit Get dog to refocus on me |
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Where would Pembroke spend the majority of the time: |
With us at home or on walks/at the dog park | ||||||
Discipline: |
Stern no Distract from behavior Treat train into sit Get dog to refocus on me Where would Pembroke spend the majority of the time: With us at home or on walks/at the dog park |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Dana works for 4-5 hours during the day from 10:30-3 and is home before and after that. Once we start having kids later this year, she will be a stay at home mom | ||||||
Where would dog eat? |
At home in our kitchen | ||||||
Where would dog sleep: |
In bed with us if she likes, otherwise in her bed or kennel – we would let her choose where she is most comfortable. | ||||||
Play & exercise: |
Nightly walks Weekly trips to the off leash dog park Daily play sessions with older brother Finley – we play catch with balls and Frisbees multiple times per day |
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How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
Midwest Fence is putting up our fence in September – we recently got onto their schedule. It is a 4 foot framed picket fence on one side, and a 4 foot black chain link on another. Our 3rd side already has a fence up, it is a 6 foot dog-eared fence. | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
We own a little less than a half acre in Vadnais Heights, MN. We have a tree canopy covered backyard providing tons of shade, that gradually slopes down to a large pond that provides plenty of wildlife (ducks) and a peaceful environment. | ||||||
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. | ||||||
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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? |
Dana | ||||||
Willing to train children? |
Yes. We are currently childless, but plan to have them as soon as early 2018. | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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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, definitely | ||||||
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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. | ||||||
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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: |
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