| Date & Referral Source | |||||||
| State: | Date of Application: | 08/14/2017 | Referred by: | Breeder | |||
| 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, 5 years – 10 years, 10 years +, Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Playful, Energetic, Very Active |
Other preferences: |
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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? |
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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? |
our family, two kids Ellie – 13 & Maverick 14 | ||||||
Why do you want a Pembroke? |
We have loved the breed since seeing them at dog shows. They are so happy and smiley. I think they would make a great family pet. We also watch a weekly vloger named Ryen Lung and his cute corgi Gatspy. | ||||||
Activities planned with Pembroke: |
It would be fun to do some agility in the back yard, fetch and walks. | ||||||
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? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
try again | ||||||
Discipline: |
Not sure, I read that if they have an accident its because we missed a queue and if he/she is barking they are trying to tell us something. We will be new at this, but I work from home and my kids are older so I think we will be fine, all hand on deck. | ||||||
Where would Pembroke spend the majority of the time: |
during the day in my office and sleep in my 13 yr old daughter's room | ||||||
Discipline: |
Not sure, I read that if they have an accident its because we missed a queue and if he/she is barking they are trying to tell us something. We will be new at this, but I work from home and my kids are older so I think we will be fine, all hand on deck. Where would Pembroke spend the majority of the time: during the day in my office and sleep in my 13 yr old daughter's room |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
yes, I work from home | ||||||
Where would dog eat? |
In the kitchen and eat when we eat. But I would need to know how many times a day to have food out? We will feed him good food without fillers so maybe 2 twice a day? Would need some advice on that. | ||||||
Where would dog sleep: |
With my daugher Ellie, she is 13. | ||||||
Play & exercise: |
Lots! We will walk to the bus stop twice a day to meet the kids and the kids will be ready to play when they get home. | ||||||
How will you exercise your dog? |
On leash | ||||||
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Fenced yard? |
No, I don’t have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
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Living arrangements: |
Own home | ||||||
Landlord info: |
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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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
We have a nice back yard bumping up against 4 other yards that are dog friendly, the neighbor to the north is retired and has a very nice golden doodle and neighbor to the south have a bichon/poodle mix. Jenni said "now Trooper will have someone his size to play with". We are volunters at Eau Claire County Humane Society and both neighbors were references on my adoption application. | ||||||
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? |
Pauline (Me) | ||||||
Willing to train children? |
yes, my kids have experience with neighbor's pets but are anxious to get our own | ||||||
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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? |
n/a | ||||||
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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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