Date & Referral Source | |||||||
State: | Date of Application: | 10/26/2017 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Playful, Energetic |
Other preferences: |
We currently have a another dog that is a mixed breed and is about 15 months old. Our dog loves other dogs and would love a buddy. So we are looking for Corgie that gets along with other dogs. | ||||||
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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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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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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Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
Myself & my Husband | ||||||
Why do you want a Pembroke? |
They are the perfect size and they always look like they are smiling. Love that they are active & playful. I have not personally owned a Corgi. I have done some research on them. | ||||||
Activities planned with Pembroke: |
Possibly agility training and long walks. | ||||||
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 have a current rescue that made lots of mistakes, but we work with a trainer on no and make sure there is anything we need to do to help prevent it. | ||||||
Discipline: |
Depends on what they are doing. We have worked with a trainer to help break bad habits such as jumping, nipping and chewing. For chewing we do "instead" so we give them what they can chew on instead of the couch. For other the puppy nipping we would yell ouch and immediately stop playing with the dog. Also we reward good behavior and sometimes even ignore bad behavior as not give them attention if that is what they are seeking with the bad behavior. | ||||||
Where would Pembroke spend the majority of the time: |
In the house. | ||||||
Discipline: |
Depends on what they are doing. We have worked with a trainer to help break bad habits such as jumping, nipping and chewing. For chewing we do "instead" so we give them what they can chew on instead of the couch. For other the puppy nipping we would yell ouch and immediately stop playing with the dog. Also we reward good behavior and sometimes even ignore bad behavior as not give them attention if that is what they are seeking with the bad behavior. Where would Pembroke spend the majority of the time: In the house. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, but I go home for lunch every day. | ||||||
Where would dog eat? |
In the house | ||||||
Where would dog sleep: |
We have a room they could stay in or in the bed. | ||||||
Play & exercise: |
We have a park access by our house that we walk in, plus a fenced in back yard. | ||||||
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? |
4 foot high fence around the entire back 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: |
No pools, just a deck, shed and a garden. | ||||||
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? |
Denise Moran | ||||||
Willing to train children? |
No children. | ||||||
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? |
absolutely. | ||||||
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: |