| Date & Referral Source | |||||||
| State: | Date of Application: | 08/14/2018 | 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, 5 years – 10 years | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
We frequently go RV camping in Benzonia and would prefer barking behavior within a reasonable parameter. We would like avoid a dog who excessively barks. | ||||||
| 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? |
Both Sharon and Marcia | ||||||
Why do you want a Pembroke? |
I love my sheltie/corgi mix. A pembroke is the perfect size for our "family". I am hoping to find a pembroke who would develop a good relationship with Dobby (female) due to similiar size and temperment.. I will trust the foster parents to assess if we are a good match to the needs of the dog. |
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Activities planned with Pembroke: |
Walks. We have a large fenced in dog yard in the country but near a subdivision. The fence is only 4 feet high so will need a dog that is unable yo jump the fence. The fence is designed so the dog cannot dig out. We prefer real fences to invisable fence to keep the dog safe from other animals etc. We have a series of dog doors that allow the dog to go outside at will. Since we are retired we are only away from our home for very short periods at a time. We initially plan to crate the dog only until it he adapts to his new home. We do need a corgi whose barking habits are within a normal to quiet range due to our RV camping. Duncan was an excessive barker and very reactive to other dogs which made our neighbors unhappy. | ||||||
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: |
By setting up the dog to succeed in a similar situation so he can learm | ||||||
Discipline: |
Im all about redirecting and setting the dog up for sucess. But i will use a verbal correction only if i can get the correct timing. | ||||||
Where would Pembroke spend the majority of the time: |
With us, both inside and outside | ||||||
Discipline: |
Im all about redirecting and setting the dog up for sucess. But i will use a verbal correction only if i can get the correct timing. Where would Pembroke spend the majority of the time: With us, both inside and outside |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
Kitchen. He would have his corner and Dobby would have hers. | ||||||
Where would dog sleep: |
In a dog ved on the floor in the bedroom. | ||||||
Play & exercise: |
Regular walks. Self exercise at will in our fenced in back yard. I have friends who have friendly dogs that likes to play. This dog would need to get along with other dogs. No agressiveness. | ||||||
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? |
4 ft high. Woven wire. Area is about 1/2 acre. Dog doors for access. | ||||||
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 own approximately 2 acre lot on the border between the country and a subdivision.
Since we live in the the Lansing michigan are,, there are several rescue organizations that would be willing to perform a home inspection so your rep would not have to travel if you wish. |
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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? |
Marcia nelson | ||||||
Willing to train children? |
No children. Chikdren at the RV park will aften ask to pet my dog. I usually explain the "rules" first. Im very careful and watchful during this. | ||||||
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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? |
My current pet is always my first priority. Since Dobby is elderly with visual, hearing and cognitive issues, She must be treated with respect. If she is harmed in any way, i will not allow the new dog to stay. I will expect the dogs to meet prior th the adoption. This dog will receive the same consideration and priority if i attempt to introduce another dog into our home. We are hoping to downsize to a single dog family after Dobby passes, hopefully a long time from now. | ||||||
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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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