| Date & Referral Source | |||||||
| State: | Date of Application: | 05/16/2018 | 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: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
I would like to find a Corgi who enjoys the company of people and other dogs (we currently have a 6 year old female Collie). I also have two rabbits, so finding a Corgi with a lower prey drive would be important. I adopted a Husky/Corgi mix that got along with rabbits wonderfully, so I know it is possible! 🙂 | ||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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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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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Myself, and also the family | ||||||
Why do you want a Pembroke? |
I thoroughly enjoyed my Husky/Corgi mix (Perry) that I adopted. The personality and temperament of Corgis are well suited to me and my family. I enjoyed working with and training Perry – admiring the independence and strong personality while keeping it in check! The energy level of most Corgis is at the perfect place for me. I have done research on the breed. | ||||||
Activities planned with Pembroke: |
Daily walks, plenty of mental and physical activities, obedience training, other activities if they demonstrate interest (agility, fetch, etc.) | ||||||
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: |
Positive reinforcement. I show them what I want them to do, and reward them when they do it. Always ending with a a pleasant, positive interaction! They are very smart, they learn quickly (and notice whether you are consistent or not), and they very much want to please. No scolding here, just consistent, firm expectations! | ||||||
Discipline: |
Same as above – I show them what I want (and reward). I don't scold when I find a mess, I wait for an opportunity to reward good behavior. If something is happening in the moment (whining), I use a verbal "Ah ah" to indicate that it is not acceptable. Barking – I acknowledge what they are trying to tell me, then say "Enough" to let them know that they have done their job. Reasonable barking is okay – I just set limits! | ||||||
Where would Pembroke spend the majority of the time: |
In the home, in the fenced-in yard | ||||||
Discipline: |
Same as above – I show them what I want (and reward). I don't scold when I find a mess, I wait for an opportunity to reward good behavior. If something is happening in the moment (whining), I use a verbal "Ah ah" to indicate that it is not acceptable. Barking – I acknowledge what they are trying to tell me, then say "Enough" to let them know that they have done their job. Reasonable barking is okay – I just set limits! Where would Pembroke spend the majority of the time: In the home, in the fenced-in yard |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. My friend works from home, and I will be home in the summer (I am a teacher). | ||||||
Where would dog eat? |
In the home | ||||||
Where would dog sleep: |
In a crate | ||||||
Play & exercise: |
Daily, and plenty of it! I am a teacher (home for the summer,) so I am excited to take this time to help a new dog adjust. Going forward, during the school year, I will still have time daily to play with and exercise the dogs. | ||||||
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? |
Wood (sides; 6 ft high), chain link (front and back; 4 ft high) | ||||||
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: |
Standard suburban yard, no fixtures. Great for dogs who like to run, roll around, and sun themselves! 🙂 | ||||||
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? |
Me | ||||||
Willing to train children? |
Yes, and I have her whole life – she is 17 now. | ||||||
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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 | ||||||
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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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