Date & Referral Source | |||||||
State: | Date of Application: | 09/24/2017 | Referred by: | Website, Friend, Breeder | |||
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 | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.) |
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 | |||||||
Who is this dog for? |
Billy Keeler (me). | ||||||
Why do you want a Pembroke? |
As stated earlier, I had a Corgi (tri-color, Pembroke Welsh) named Buddy. Initially I was looking for a smaller dog, who would be energetic, but didn't need miles and miles of running a day. I came to love his inquisitiveness, intelligence, and caring. They are a smart and loyal breed and I look forward to having that in my life again. | ||||||
Activities planned with Pembroke: |
Walks, dog parks, hiking adventures, traveling to lake houses, training. | ||||||
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: |
We stop. We sit. We focus on another activity or stimulus to try and prevent the mistake in the future. | ||||||
Discipline: |
A stern no. Then we sit and we focus on a better behavior in an attempt to prevent the type of behavior in the future. | ||||||
Where would Pembroke spend the majority of the time: |
Milwaukee, Wisconsin. I live close to downtown. I would likely try and crate train unless the adoptee was comfortable in a home and we can set some parameters with fencing/walls until he/she and I are comfortable. Then he/she would likely have run of the house while I'm away. My office is about three minutes from my house, so lunch walks are something I enjoy doing as well. | ||||||
Discipline: |
A stern no. Then we sit and we focus on a better behavior in an attempt to prevent the type of behavior in the future. Where would Pembroke spend the majority of the time: Milwaukee, Wisconsin. I live close to downtown. I would likely try and crate train unless the adoptee was comfortable in a home and we can set some parameters with fencing/walls until he/she and I are comfortable. Then he/she would likely have run of the house while I'm away. My office is about three minutes from my house, so lunch walks are something I enjoy doing as well. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, but I live close to my office and come home for lunch walks. | ||||||
Where would dog eat? |
House/dining room. | ||||||
Where would dog sleep: |
Attempt a crate or a bed in a designated location to try and get them comfortable and used to a particular area. Buddy had a corner of my room. | ||||||
Play & exercise: |
Every morning we go for a long walk and play some fetch in the yard.. At lunch we'd do a walk. At night we'd go for a longer walk, meet with friends, head to a park or a dog park, and make sure the day's energy is well spent. Then a final walk before bed. That all includes the play and fun in the house whenever either of us is up for it. | ||||||
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? |
Half the yard is a wooden fence and the remainder is a chain link. We've put up a wall/gate to ensure that Buddy couldn't get out until he was fully comfortable with owning and staying in his own yard. | ||||||
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 | ||||||
Description of yard: |
I have a back porch/patio and a grass yard that are directly off the back door to my house. | ||||||
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? |
Billy Keeler | ||||||
Willing to train children? |
N/A (but yes). | ||||||
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? |
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: |