| Date & Referral Source | |||||||
| State: | Date of Application: | 05/20/2018 | 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: |
Other (Please describe in the box below.) |
Other preferences: |
We are a family of dog lovers that is in need of a furry friend. We would love the opportunity to provide a forever-home to an in-need friend. | ||||||
| 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? |
We are seeking a family dog that would be loved by our family of 4. We recently lost our near and dear furry friend to old age and are hoping to find a new member of our family to love. We are both working professionals and we have two girls ages 8 and 12. We have a good size house with a 1/2 acre lot in a dog-friendly neighborhood. We are hoping you can help us find a friend who is in need of their forever-home. | ||||||
Why do you want a Pembroke? |
Although we personally have never had a corgi, we have know many through the years. We like their energy and their affection. We enjoy that they are intelligent and loving and most of all cute 🙂 | ||||||
Activities planned with Pembroke: |
We live near Hartley Nature Center in Duluth and often take long walks along these nature trails. We like to do hiking on the weekends in the summer and we have a dog-friendly cross-country ski area near by to provide winter activities for the whole family. | ||||||
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 would try to distract them from making the mistake and try to have them change it to a positive. We have also used isolation (in a crate) if the puppy needs some time to settle down. | ||||||
Discipline: |
Isolation, we would have them have take a time-out when needed. | ||||||
Where would Pembroke spend the majority of the time: |
In our house with access to the entire house when they can be trusted. We would likely begin with them spending their days in their crate. | ||||||
Discipline: |
Isolation, we would have them have take a time-out when needed. Where would Pembroke spend the majority of the time: In our house with access to the entire house when they can be trusted. We would likely begin with them spending their days in their crate. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
This summer, our 12 year-old daughter will be spending the days at home. During the school year no one is home from 9-3. | ||||||
Where would dog eat? |
In our Family room. | ||||||
Where would dog sleep: |
We would allow them to chose were they would like to sleep. Ideally cuddled in a bed with one of us 🙂 | ||||||
Play & exercise: |
Our adopted friend would certainly get daily walks with opportunities to play with other dog in the neighborhood as well as our family and friends' dogs on visits. | ||||||
How will you exercise your dog? |
On leash | ||||||
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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: |
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: |
We have a 1/2 acre wooded lot in a quiet neighborhood in Duluth, MN. We have a trampoline and a fire pit with a nature trail trough our back lot. We recently purchased this home and we do have plans to add a fence in the coming years. | ||||||
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? |
Ryan Schaefer | ||||||
Willing to train children? |
Our children have grown up with Kayla (shepard husky mix) and Kozmo (keeshond). They have learned to love an respect our animal friends. They have grown into young animal lovers. They are both excited to have a new member of our family to love and share their time with. | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
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Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
We currently do not have any other animal friends | ||||||
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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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