| Date & Referral Source | |||||||
| State: | Date of Application: | 01/02/2018 | 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, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Sable & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
We have a 14-year-old tortie cat in the house. She has lived with a dog in the past and prefers dogs to other cats but she has also been the only pet for the last 3 years. We would only consider a corgi that is cat-friendly. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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| Dog 2 | |||||||
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| Dog 3 | |||||||
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| Dog 4 | |||||||
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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
We (Matt and Emily) would like to add a corgi to our loving home. | ||||||
Why do you want a Pembroke? |
We have wanted a corgi for years now. We love their short little legs, and big, happy smiles. We are interested in having a small dog in general but a corgi's mix of cuteness and energy is most appealing to us. Neither of us has owned a corgi in the past but our understanding is that they can be high energy but very loving pets. | ||||||
Activities planned with Pembroke: |
We would like to take our corgi for walks, hikes, and the occasional swim, We have a walking path through our neighborhood and town that is dog-friendly. We also have a fenced in yard where we could play with them outdoors at home. Aside from the exercise, we would snuggle them at home on the couch and at bedtime. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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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: |
We would be firm with them but not punish them. We would try and train them to avoid making the mistake in the future. | ||||||
Discipline: |
Verbal commands, never physical. "Timeouts". | ||||||
Where would Pembroke spend the majority of the time: |
Most of the time would be spent in and around our neighborhood. Whether that is inside/outside at home or at the park down the street. | ||||||
Discipline: |
Verbal commands, never physical. "Timeouts". Where would Pembroke spend the majority of the time: Most of the time would be spent in and around our neighborhood. Whether that is inside/outside at home or at the park down the street. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
There is someone home during the day about 3 days a week. | ||||||
Where would dog eat? |
Somewhere in the house. | ||||||
Where would dog sleep: |
Either in our bed or in a dog bed we would provide. | ||||||
Play & exercise: |
We would take them on walks at least once a day and let them play in the backyard | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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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? |
Wooden picket fence, approximately 4 feet tall. Fully encloses the back yard with locked gates. | ||||||
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 | ||||||
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Description of yard: |
Our backyard is 1/8th of an acre. It is mostly grass. It includes a brick patio, small garden, hot tub, and shed. | ||||||
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. | ||||||
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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? |
Emily Archer | ||||||
Willing to train children? |
Yes, we are. We do not currently have children but if that time came we would be willing and happy to teach them. | ||||||
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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 would do everything possible to help them get along and make sure each animal is comfortable and feels safe in our home. | ||||||
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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. | ||||||
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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: |
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