| Date & Referral Source | |||||||
| State: | Date of Application: | 03/28/2018 | 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: |
Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
We have a rescue dog already who can be timid around new people or situations. She loves other dogs, though! We would like to try and find a sister for her that is more confident, rather than timid as well. | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Our family. | ||||||
Why do you want a Pembroke? |
We love the look of a Pembroke Welsh Corgi and know that they are typically confident dogs. We are looking for an addition to our family that will be a confident dog. Our current dog has come a long way with her confidence since we rescued her and we would like a breed that is confident so that we can continue working with her on that skill, while giving her a playmate and companion! | ||||||
Activities planned with Pembroke: |
We have a fenced-in, large backyard where we play fetch and Frisbee and we enjoy going on walks. We also have a dog park nearby for socialization. | ||||||
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 |
||||||
|
Do you have a veterinarian? |
Yes | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
Redirect and try again with training treats and praise. | ||||||
Discipline: |
Mostly redirection, ignoring, or stern voice… positive punishments. | ||||||
Where would Pembroke spend the majority of the time: |
In our home. Outside when we're with her – playing or walking. | ||||||
Discipline: |
Mostly redirection, ignoring, or stern voice… positive punishments. Where would Pembroke spend the majority of the time: In our home. Outside when we're with her – playing or walking. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
It depends on the time of year. I am a teacher, so I have summers off, as well as holidays and breaks throughout the year. | ||||||
Where would dog eat? |
We have food for our current dog in our dining room. | ||||||
Where would dog sleep: |
Our current dog was crate trained, but now she sleeps in our bed or in her dog bed in our bedroom. We still have the crate for the Pembroke if necessary. | ||||||
Play & exercise: |
We have a fenced-in backyard where we play Frisbee and fetch. We also love to go on walks and have a dog park nearby for socialization. | ||||||
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? |
Our fence is a wooden privacy fence and about 4 feet tall. | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
Our yard is large and long with grass, trees, and plants. It includes a dog run with a swing set. | ||||||
Household members: |
|||||||
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? |
Ellen Pape | ||||||
Willing to train children? |
Yes, but we do not have any children at this time. | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
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, but we would like to have them meet before adopting to ensure they are a good match. That being said, our current dog has never met another dog she didn't like! | ||||||
|
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: |
|||||||