| Date & Referral Source | |||||||
| State: | Date of Application: | 03/29/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic |
Other preferences: |
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| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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| Dog 2 | |||||||
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| Dog 3 | |||||||
Dog 3 name: |
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| Dog 4 | |||||||
Dog 4 name: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Us – Nick & Sarah Groeschel | ||||||
Why do you want a Pembroke? |
We want to adopt a Pembroke Welsh Corgi for multiple reasons. We like the smaller size, short legs, short tail, bigs ears, and thicker coat. We are looking for a dog that isn't too big for our medium sized home and we want a dog that can handle the cold. The only experience with the breed is having some corgis at the doggie daycare that I (Sarah) work at. We have done some research on the breed and will continue to do more. | ||||||
Activities planned with Pembroke: |
We would like to be able to take our corgi on walks, go camping, go on fishing trips (ride on a boat or kayak), go to doggie daycare and dog parks for exercise and socialization, and possibly do some agility training. | ||||||
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: |
We are aware that the dog will most likely make mistakes. We plan on handling any mistakes calmly and assertively. We would like to train our dog to be well balanced by using leadership techniques similar to Cesar Millan. We have watched many videos and read numerous articles about having rules, boundaries, and limitations and projecting calm and assertive energy. We want our dog to be a fun, happy dog that is well trained. We also have a friend that is a trainer who will assist us in any issues that we may have. | ||||||
Discipline: |
We plan on doing crate training and possibly e-collar training. | ||||||
Where would Pembroke spend the majority of the time: |
Our Pembroke would probably spend about half of the time at home (most of the time with someone) and the other half of the time at work with me (Sarah) since I work at a doggie daycare. | ||||||
Discipline: |
We plan on doing crate training and possibly e-collar training. Where would Pembroke spend the majority of the time: Our Pembroke would probably spend about half of the time at home (most of the time with someone) and the other half of the time at work with me (Sarah) since I work at a doggie daycare. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. There is someone at home most of the day. | ||||||
Where would dog eat? |
The corgi would eat in the kitchen where there is a hardwood floor. | ||||||
Where would dog sleep: |
The corgi would be crate trained and sleep in the crate at night. The crate will be in the kitchen or spare bedroom. | ||||||
Play & exercise: |
We plan on taking the dog on walks daily. In addition, I (Sarah) would take him to work with me at the doggie daycare regularly. We also have a medium sized yard to play in and would take him to the dog park from time to time. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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Fenced yard? |
No, I don’t have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
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Living arrangements: |
Rent/lease home | ||||||
Landlord info: |
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May we contact your landlord? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
We live on a corner lot so we have a medium sized yard that includes a front, side, and back yard. There are bushes along the side of the duplex and a bird feeder on a pole that is movable. | ||||||
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? |
Sarah | ||||||
Willing to train children? |
Yes. Animals are a big part of our life and we plan to teach our future children to be VERY respectful of all animals and how to humanely care for 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? |
Our current pets include 2 snakes (in one tank) and one tank of fish. The snakes and fish are contained in their tanks and will only come out (snakes) when the dog is crated. We are willing to try to resolve any problems with any potential future pets. | ||||||
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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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