Date & Referral Source | |||||||
State: | Date of Application: | 09/09/2017 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 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, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.) |
Other preferences: |
I do have 2 dogs, and the Jack Russell is more dominant so the corgi would need to get along with all dogs very well. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog 2 | |||||||
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Dog 3 | |||||||
Dog 3 name: |
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Dog 4 | |||||||
Dog 4 name: |
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Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
He/she would be for myself. I would love to add a rescued corgi to my little family. | ||||||
Why do you want a Pembroke? |
I absolutely love their attitudes! They remind me so much of Jack Russell's in attitude and I love Jack's! I like intelligent dogs who love to learn and are active as I am an avid hiker. I have only met a few corgis personally, but the ones I have met have been absolutely amazing. They are energetic, a little yappy, but always playful and friendly. Yes, I have done plenty of research on the breed, as I believe education before you bring a dog home is extremely important so that you know what you're getting into and also so that the dog ends up in a forever home. They are a herding breed, so they need a job/lots of exercise or they will get bored and get into trouble- a lot like jacks! They shed quite a bit and will need to be groomed/brushed often- my lab sheds like crazy! I work at a shelter/rescue and so I am no stranger to dog hair all over me! | ||||||
Activities planned with Pembroke: |
There is a dog park at my apartment complex that I would love to take them to when they are ready, I would love to bring them hiking often, walks around the neighborhood/college campus, maybe bring them to the barn my horse is at- if the corgi can handle that environment as my other dogs can't and prefer to not be around horses. They would be a companion, as I do not plan to do agility or anything of that sort, but more of a friend to bring with me on adventures! | ||||||
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 |
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Do you have a veterinarian? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
It depends on the situation. Mistakes are okay to make as they are learning opportunities; my dogs make mistakes daily. I would handle it calmly, but assertively. | ||||||
Discipline: |
I believe in both positive and negative reinforcement. Treats, praise and humane scolding. | ||||||
Where would Pembroke spend the majority of the time: |
In my apartment with my dogs and I, or outside with us. When I am at work or school they would either be crated in a large, open wire crate, or loose in my living room – depending on if they are house trained or not. Both of my dogs are house trained, but one tends to get into chewing things if I am away at work/school for a few hours so he is crated while I am gone, and the other is loose. He is only crated when no one is home and short periods of time/few hours. | ||||||
Discipline: |
I believe in both positive and negative reinforcement. Treats, praise and humane scolding. Where would Pembroke spend the majority of the time: In my apartment with my dogs and I, or outside with us. When I am at work or school they would either be crated in a large, open wire crate, or loose in my living room – depending on if they are house trained or not. Both of my dogs are house trained, but one tends to get into chewing things if I am away at work/school for a few hours so he is crated while I am gone, and the other is loose. He is only crated when no one is home and short periods of time/few hours. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, periodically. My boyfriend and I have different work and school schedules, and so we are at home multiple times a day more than we are away. | ||||||
Where would dog eat? |
It would eat in my living room where my other two dogs eat as long as it feels comfortable eating around them. They do eat separately – one outside of the crate and one inside their crate. I do not feed them directly next to eachother because I feel that even though they get along it is safer to keep dogs spread apart when eating. | ||||||
Where would dog sleep: |
I allow my dogs to sleep in my bed with me, although I do have a few dog beds available for them. They often sleep on the floor, and the dogs beds when it is warm, but generally they sleep with me and I allow that. If the dog prefers to have a crate to sleep in I can set that up as well with a bed in the crate in my bedroom so they are not left away from us. | ||||||
Play & exercise: |
As I have said before, I really enjoy hiking, and so in any weather where hiking is possible I will expend energy that way. My complex also has a large dog park that is open all day, and into the night. I have a fairly large apartment, 1000 sq feet, and when the weather is bad my two dogs run from the front to the back until they're exhausted! I also have lots of toys always available to play with, and so the dogs tend to wear each other out when possible! When the weather is nice I also enjoy taking my dogs for walks around town, or around campus so they get exposure around other people- of which they absolutely love strangers! | ||||||
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? |
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Living arrangements: |
Rented apartment | ||||||
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? |
Yes | ||||||
Description of yard: |
N/A apartment | ||||||
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? |
Me, Stephanie Barcelona | ||||||
Willing to train children? |
I do not have a child, but when children ask/try to pet my dogs I do tell them how they should treat animals or to not touch my dog if they are uncomfortable. | ||||||
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, I work with both of my dogs on behavior. When I first introduced Nixon into my home there was a long adjustment period for my older dog, Channing. All was worked through and now they love eachother, play together, sleep on eachother, and eat in close proximity. I allow my dogs to correct each other within reason, but they are always being monitored socially so that if an issue were to arise I could be there to resolve it. | ||||||
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: |