| Date & Referral Source | |||||||
| State: | Date of Application: | 01/25/2018 | 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: |
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, Quiet, Playful, Energetic |
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 | |||||||
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Who is this dog for? |
This corgi would be for me. My 24 year old daughter lives with me now, but may well be gone in the next year. | ||||||
Why do you want a Pembroke? |
Corgis have been on my radar for many years and I have researched them both on line and with Corgi owners. During my time with them, I learned of their keen intelligence, their high interactive behavior and energy. When my dog Woody died, I was looking into a puppy or rescue, but when Layla needed rescuing from a friend, I took her in as our new second dog with great results. Now that Cleo has died, I would like to return to my Corgi quest. | ||||||
Activities planned with Pembroke: |
I would leash walk the dog every day and allow plenty of time in my fenced back yard. Now that I am retired, I would also explore the possibility of agility training with him/her, as I am aware of the Corgi's intelligence and activity needs. | ||||||
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? |
Yes | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
If by mistake, you mean eliminate in the house, I would immediately take him/her outside. I'd also make a point of praising whenever the dog eliminated outdoors and/or signaled that he wanted to go out. If you mean destructive behavior, I'd say a firm "no" and take away the object. | ||||||
Discipline: |
Positive reinforcement | ||||||
Where would Pembroke spend the majority of the time: |
Most of time in the house, which is a split level. A good portion of the time in the fenced back yard. Frequent trips to the many dog parks of Madison, one of which is only two blocks away from my house. | ||||||
Discipline: |
Positive reinforcement Where would Pembroke spend the majority of the time: Most of time in the house, which is a split level. A good portion of the time in the fenced back yard. Frequent trips to the many dog parks of Madison, one of which is only two blocks away from my house. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. I am here most of the day, as is my daughter. | ||||||
Where would dog eat? |
Probably in my study, with door closed. I feed Layla in the bathroom, with closed door. I've always had two dogs, and I find separating them at feeding time is the wisest course of action | ||||||
Where would dog sleep: |
I have several dog beds in different rooms in my house. Layla sleeps either in my room in a bed (sometimes at foot of bed) or in living room on sofa pillow. We'd see where the Corgi would be best situated. I may consider a crate as well, depending on the dog. I trained both Woody and Cleo (both rescue dogs) to crates, and they often happily stayed in them when I left the house. | ||||||
Play & exercise: |
Layla is a very playful dog who enjoys "chase" games with other dogs in the yard, dog parks and in the house. He/she will have daily opportunities for both play and exercise. As mentioned above, I will also consider agility training. I would love to play "fetch" and frisbee with my Corgi; Layla is indifferent to these games. | ||||||
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 6 foot+ fence on two sides; chain link 5' in back. | ||||||
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: |
Yard in back has border plantings, a large maple tree and several garden beds; vegetable, native plants;; herbs. Plenty of open space to run. Deck off kitchen leading to fenced yard. No pool or 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? |
Janine Veto, with substantial, enthusiastic participation with Francesca. | ||||||
Willing to train children? |
n/a She's an adult. | ||||||
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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? |
Absolutely. The Corgi would be my fourth rescue dog. I make a commitment to dogs for life, and have had experience transitioning a new dog with the previous dog after the death of a companion. Our home is most complete with two happy dogs in residence. | ||||||
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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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