Date & Referral Source | |||||||
State: | Date of Application: | 11/29/2017 | Referred by: | Website, Friend | |||
Contact Information | |||||||
First name: | Last name: | First name 2: | Last name 2: | ||||
Address | |||||||
Street: | |||||||
City: | State: | Zip: | |||||
Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Female | Color preferred: |
Red & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
I have one 5 year old Shih Tzu who is a couch potato.. I will require any dog to need to be able to get along with her. | ||||||
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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Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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Where is dog now? |
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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? |
The Pembroke is for myself, Andrew Primeau. | ||||||
Why do you want a Pembroke? |
I've known about Corgi's for years because of it's associations with Queen Elizabeth II. Eventually, I decided to research the breed itself and fell in love with the breed in it's own right. I love their playfulness and attachment to their owners. My family pet growing up was a newfoundland who was rather lazy, I would like a companion in my corgi. I've been researching corgi's for the better part of three years now. | ||||||
Activities planned with Pembroke: |
Walks, playing, and just being together. Possibly swimming…. My family extended occasionally brings our dogs together when we go to our summer house in northern Michigan. The breeds include a rescued Siberian Husky and my Shih Tzu Stella that I mentioned earlier. | ||||||
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? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
I usually make a "Tch" sound to break their focus on their bad behavior and distract them to a new activity. Dogs need a calm and focused response. | ||||||
Discipline: |
I usually make a "Tch" sound to break their focus on their bad behavior followed by a stern "No __dog name__" then distract them to a new activity. If the mistake continues some time in pen to calm the dog can also be used. | ||||||
Where would Pembroke spend the majority of the time: |
With the family on the main floor we usually are. | ||||||
Discipline: |
I usually make a "Tch" sound to break their focus on their bad behavior followed by a stern "No __dog name__" then distract them to a new activity. If the mistake continues some time in pen to calm the dog can also be used. Where would Pembroke spend the majority of the time: With the family on the main floor we usually are. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
My mother and I have alternating shifts so someone is home at all times. My sister is also in high school and is home every day after 2p. | ||||||
Where would dog eat? |
We feed our Shih Tzu Iams dog food. I would be willing to get whatever brand is recommended. | ||||||
Where would dog sleep: |
I would prefer my dog to sleep with me or in his dog bed/crate. | ||||||
Play & exercise: |
The corgi will get at least two walks 20-30 minute walk per day. We keep plenty of toys for the Shih Tzu and play with her for at least 30-40min per day. | ||||||
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? |
Chain link fence. | ||||||
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 about a half acre sized yard with three trees and a large wooden deck. The fence encircles the yard to keep it enclosed. Have an above ground swimming pool with a ladder to get in. There is no way for a dog to get into the pool. | ||||||
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? |
Andrew Primeau | ||||||
Willing to train children? |
I have no children and will not be having any. But if by some miracle one dropped out of the sky, Yes I would be more than happy to. | ||||||
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 am. | ||||||
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: |