| Date & Referral Source | |||||||
| State: | Date of Application: | 07/03/2018 | 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, Very Active, Other (Please describe in the box below.) |
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? |
Our family. Mike's the Dad who works globally and often from home. Kim's the Mom who works as a controller for a local importer, some days from home. The Corgi baby will go to work with her at her office sometimes The Corgi baby will have a big brother, Logan, who will be a Senior in High School this fall. | ||||||
Why do you want a Pembroke? |
We had a beloved Pembroke Corgi, Katherine, in our family for almost thirteen years. This past winter we made the heart-breaking choice to put her down and end her suffering when there was no further treatment for tumors that impeded her airway and medicines no longer kept her comfortable. We had such an appreciation for her "corgi-ness" and aren't considering adopting any other breed as our next dog. When she was gone, it was a learning experience to get through our days without having her directing us in the Corgi-growly talk. Incessant corgi growly talk! | ||||||
Activities planned with Pembroke: |
Whatever he or she tells us to! Seriously though, we took our first Corgi walking in the woods, frisbee in the fields, leash-walking in our neighborhood, for rides in the car, walking/tunneling in the snow. For long trips or places where dogs aren't welcome or where she wasn't happy (relatives homes with a no pet policy, or a cousin's home with a pet that our dog wasn't happy spending time with) we hired a family friend to stay home and "Katie-sit" rather than putting her in a kennel. Katie dog HATED the kennel, and would cry when we picked her up. Traumatic for her and for us, so we just didn't take her there. | ||||||
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: |
Work on re-training if the mistake is on-going. Praise and reward good behavior. | ||||||
Discipline: |
Positive and thorough training with treats and positive reinforcement. Redirect to acceptable behavior, e.g., chewing sofa? Supervise and remove her from the sofa area and give her to her acceptable 'chewie' toy. The more time spent training in the beginning, the more well behaved a dog is…plus it just makes a happier family if everyone is well behaved! | ||||||
Where would Pembroke spend the majority of the time: |
With her family. At home if not able to take her wherever we are. | ||||||
Discipline: |
Positive and thorough training with treats and positive reinforcement. Redirect to acceptable behavior, e.g., chewing sofa? Supervise and remove her from the sofa area and give her to her acceptable 'chewie' toy. The more time spent training in the beginning, the more well behaved a dog is…plus it just makes a happier family if everyone is well behaved! Where would Pembroke spend the majority of the time: With her family. At home if not able to take her wherever we are. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Varies. | ||||||
Where would dog eat? |
In the kitchen…twice daily lamb and rice 'precise' brand. Always fresh water dish available. We never fed our corgi from the table. Begging=bad manners. | ||||||
Where would dog sleep: |
In a dog bed in her crate when in need of supervision in mom and dad's room, later in a dog bed without the crate in mom and dad's room once mature. | ||||||
Play & exercise: |
Daily walks/ supervised running/ playing. More often if he/she wants! | ||||||
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: |
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 live on a large cul-de-sac. The backyard is a wedge shape with natural boundaries…woods in the back, landscaped areas that delineate boundaries. We lived here without a fence for four years with our first corgi, but she was obviously getting older. If our next corgi struggles with respecting the boundaries we would have a fence installed. 'Making a break for it' not an acceptable activity! | ||||||
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? |
Mom and dad | ||||||
Willing to train children? |
He knows from experience with our first corgi (he was 3 when she came into the family.) But young people visiting and the dog are closely monitored. | ||||||
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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? |
No other pets; our first Corgi wanted to be the only pet…and we let her be! As we did before, if we wanted to add an additional pet we would attempt to socialize and have peace in the land, but having one happy pet family member is preferred to a houseful of pet strife! | ||||||
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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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