Date & Referral Source | |||||||
State: | Date of Application: | 10/25/2017 | 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, 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? |
The two of us. | ||||||
Why do you want a Pembroke? |
We got our current corgi puppy a little over a year ago and are so in love with him. We love his energy level and sassiness. We can tolerate his stubbornness and admire how smart he is. We have been talking about getting him a brother or sister ever since we brought him home. | ||||||
Activities planned with Pembroke: |
We currently go on daily walks and weekly hikes with our corgi. He has even been kayaking a couple of times. He also comes with us camping and to the beach, or to visit nearby relatives. So of course, our new Pembroke would join as well, as long as he/she is able. | ||||||
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: |
Scolding and then redirecting them to a desirable behavior.
For example, if they are chewing on a shoe, take the shoe away, firmly say "No", then give them a toy to chew on. |
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Discipline: |
We took a puppy training class and learned to verbally scold and redirect a dog. Also using bitter apple spray on things they aren't supposed to chew. Stop playing with them if they bite. Don't give them attention when they jump. | ||||||
Where would Pembroke spend the majority of the time: |
At our home, inside with us or supervised outside in our fenced in back yard, weather permitting. | ||||||
Discipline: |
We took a puppy training class and learned to verbally scold and redirect a dog. Also using bitter apple spray on things they aren't supposed to chew. Stop playing with them if they bite. Don't give them attention when they jump. Where would Pembroke spend the majority of the time: At our home, inside with us or supervised outside in our fenced in back yard, weather permitting. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Nate works from home 2-3 days a week and I, Emilee, work half days on Fridays. We also have the ability to come home during lunch. | ||||||
Where would dog eat? |
In the dining room, next to their crate. | ||||||
Where would dog sleep: |
In their crate until we can trust them to sleep either in our bed or on their bed on the floor in our room. | ||||||
Play & exercise: |
We have a fenced in back yard where we like to play frisbee everyday with our current corgi. We also go on daily walks and weekly hikes. | ||||||
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? |
We live on the corner. There is a tall privacy fence on the road side (right side) of yard, a chainlink fence separating our yard from our neighbors to the left, our garage and a privacy fence to the back, and our house and gate facing the other road. | ||||||
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: |
We have a large square, fenced in back yard with a deck (that has three steps up to a sliding door) and a stone patio with a table on it. No swimming pools/ponds. | ||||||
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? |
Emilee | ||||||
Willing to train children? |
Yes, we are. | ||||||
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, we will definitely try and will even seek professional help, however, if it is unsafe for either of the dogs, we are not interested in keeping both the dogs/having to keep them separated at all times. | ||||||
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: |