| Date & Referral Source | |||||||
| State: | Date of Application: | 08/11/2018 | 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: |
Outgoing, Quiet, Playful, Energetic |
Other preferences: |
I (Heidi) work at home. I'm an artist and I sell my oil paintings through galleries. I would want a dog who is okay with just being nearby and content while I work in my studio, which is just a large room in our home. I don't want a dog that is like velcro and has to be right next to me or under foot all the time. But I have had my previous dogs' beds in there with me and they would nap while I work. | ||||||
| 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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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? |
My husband and me. | ||||||
Why do you want a Pembroke? |
We had a neighbor that had a Corgi named Chuck. He would come over and hang out with us (outside). He has passed away and we do miss him. I think it was his fun personality and cute short legs that we fell in love with! | ||||||
Activities planned with Pembroke: |
Daily walks, hiking., car rides. We'd also like to be able to take our dog to local outdoor eating areas and enjoy a meal with him, so he/she should be well behaved and not have issues with being out in public. | ||||||
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: |
A firm 'no'. | ||||||
Discipline: |
Vocal commands. However we learned that daily walks go a very long way in the behavior of dogs. A tired dog is a good dog (mostly). I would want to go to training classes again to get a refresher. We took classes when our previous dogs were young but that was 16 years ago. | ||||||
Where would Pembroke spend the majority of the time: |
In the house with us. | ||||||
Discipline: |
Vocal commands. However we learned that daily walks go a very long way in the behavior of dogs. A tired dog is a good dog (mostly). I would want to go to training classes again to get a refresher. We took classes when our previous dogs were young but that was 16 years ago. Where would Pembroke spend the majority of the time: In the house with us. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. | ||||||
Where would dog eat? |
In the kitchen. | ||||||
Where would dog sleep: |
Either in a crate or dog bed in or near our room. It depends on what the dog prefers, really. | ||||||
Play & exercise: |
Daily walks, 30 -45 minutes. Also we love to go outside and play ball with our dog. We have two acres. and lots of room to run. | ||||||
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 have two acres. One acre we put into native prairie plants. We have mowed paths in the prairie. There is a lot of room in our neighborhood, too. Each home has 2-5 acres. It is not a busy area. We don't have a pool. | ||||||
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? |
Heidi | ||||||
Willing to train children? |
We don't have children at home. | ||||||
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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. We would want a dog that is friendly towards cats. We want our cat to be comfortable in our home with our new dog. | ||||||
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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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