Date & Referral Source | |||||||
State: | Date of Application: | 09/14/2017 | 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: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Playful |
Other preferences: |
My only concern is that the corgi gets along with our dog and 2 cats. We are an active family. We are outside a lot but also have days of relaxation. | ||||||
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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Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
Our family | ||||||
Why do you want a Pembroke? |
I have never owned a corgi, but I love the big dog in a little body aspect. I love that they seem to be a very intelligent breed and are willing to work and be trained to do various jobs. | ||||||
Activities planned with Pembroke: |
Currently our lab does a lot of swimming so we would try to do activist with that. Also would like to try therapy dog or good canine citizenship. | ||||||
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: |
Correct the mistake and train it to do the correct thing. Example, if the dog is mouthing while playing, we will defer the mouthing to a toy instead of a hand of a person. Also saying no | ||||||
Discipline: |
Just redirecting the bad behavior to use a good one Instead. | ||||||
Where would Pembroke spend the majority of the time: |
In the house. The dog will not be outside unless someone is outside with them or supervised. Otherwise the dog will be kenneled until we know we can trust it alone. | ||||||
Discipline: |
Just redirecting the bad behavior to use a good one Instead. Where would Pembroke spend the majority of the time: In the house. The dog will not be outside unless someone is outside with them or supervised. Otherwise the dog will be kenneled until we know we can trust it alone. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Only after work. | ||||||
Where would dog eat? |
In the kitchen | ||||||
Where would dog sleep: |
In our bedroom | ||||||
Play & exercise: |
Go for walks, swimming, and playing fetch. Playing with our other dog. | ||||||
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: |
Rent/lease home | ||||||
Landlord info: |
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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: |
We live on a 7 acre parcel that we just built this house on. The only things other than the house are some enclosed trailers for the electrical buisness and our LP tanks. We have about 250 trees planted on the property as well. | ||||||
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? |
Myself- Amanda | ||||||
Willing to train children? |
I do not have children but I will be willing to train any future children on this. | ||||||
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. It took my Siamese cat a few years before he accepted my dog. The puppy used to chase the cat and chew on him. We have corrected that behavior and now they lay and play together. | ||||||
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: |