Date & Referral Source | |||||||
State: | Date of Application: | 12/08/2017 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Female | Color preferred: |
Any color | Activity level: |
Other (Please describe in the box below.) |
Other preferences: |
We need to make sure our other dog will get along with our new one. Our current dog was a rescue who we think may have been abused by former owners so she can be a little skittish. She seems to get along well with dogs that stop by our property to play, though. And she was fine with our older dog (who died a few years ago). | ||||||
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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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: mother, father, 15 year old boy, 13 year old boy, 6 or 7 year old mixed dog (rescue so we aren't sure of her age) | ||||||
Why do you want a Pembroke? |
We love that they are energetic and sweet. We have researched them extensively and understand that they can be high maintenance. We do like the way they look so cute. We have never had a smaller dog and like that these are smaller but still look like dogs. | ||||||
Activities planned with Pembroke: |
We play outside with our dogs a lot. Our current dog doesn't like to do much, but our past dogs played Frisbee and did obstacle courses with us. Also we like to take our dogs for walks and in the car. And of course to pet them and cuddle. We would like to formally train our dog but it may be difficult to find a trainer in our small town. | ||||||
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: |
This is an odd question to us. We have had three dogs – they are bound to wreck something in our house or make a mess. We just roll with it and work to train them not to do it again. If it was our fault for leaving something out, we won't do that again. If their fault, sometimes we can block them from going in a certain place, or else work to train them. | ||||||
Discipline: |
It seems positive rewards work the best with both humans and dogs. And consistency. So that would be our method | ||||||
Where would Pembroke spend the majority of the time: |
In our home. There is someone at home more than 50% of the day and always at night. And our other dog is always home too. | ||||||
Discipline: |
It seems positive rewards work the best with both humans and dogs. And consistency. So that would be our method Where would Pembroke spend the majority of the time: In our home. There is someone at home more than 50% of the day and always at night. And our other dog is always home too. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Most of the time. Pete works as a track coach so is gone most afternoons. But I often come home with the kids by 4pm. So most of the time there would be someone home. | ||||||
Where would dog eat? |
Our dogs always eat in the mudroom/laundry room. | ||||||
Where would dog sleep: |
In our bedroom on the floor (dog bed). | ||||||
Play & exercise: |
Lots. We have lots of outdoor space and we spend a lot of time outdoors ourselves. We have an invisible fence that blocks about 2 acres so we will probably train her to that if possible. | ||||||
How will you exercise your dog? |
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? |
Invisible Fence. But we haven't used it for a while because our current dog just stays around our house. But we could get it going again. | ||||||
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: |
10 acres with woods on a gravel road. But the invisible fence covers about 2 acres of lawn. Nothing dangerous. | ||||||
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? |
Sharon | ||||||
Willing to train children? |
Yes. But they have had three dogs already so they know about 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, of course. We had difficulty with our previous dog, Finn, when we brought Porshia home. But we called our vet and worked with them and waited and it all resolved within about a week. | ||||||
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: |