| Date & Referral Source | |||||||
| State: | Date of Application: | 09/30/2018 | 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: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Female | Color preferred: |
Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color | Activity level: |
Other (Please describe in the box below.) |
Other preferences: |
We would like to make sure whichever Corgi we were to adopt be spayed/neutered. | ||||||
| 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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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Us, to add to our little family. | ||||||
Why do you want a Pembroke? |
We already own the breed and will consider going through the same breeder as our first if we’re not given the opportunity to adopt. We love corgis, their energy, but ESPECIALLY their attitude. We like the way they look (naturally with or without tails). The attitude though, is truly our favorite. So much sass and intelligence. | ||||||
Activities planned with Pembroke: |
Tug of war. Tag. Fetch (this one is more difficult to teach to corgis but is still very fun). Cuddling. Agility Course Fun (no competition, just for treats). Dog Park (if appropriate for specific dog). | ||||||
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: |
Try to show appropriate or correct behavior and use positive reinforcement with treats and praise. | ||||||
Discipline: |
The word “No”. Showing a bit of discontentment and frowning. A kennel is not a punishment and I don’t like spanking. |
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Where would Pembroke spend the majority of the time: |
With us in and around our home. (Indoor outdoor, but mostly in our neighborhood) Inside dogs, because I don’t believe outside dogs should be a thing. But with walks 4-7 times a day. |
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Discipline: |
The word “No”. Showing a bit of discontentment and frowning. A kennel is not a punishment and I don’t like spanking. Where would Pembroke spend the majority of the time: With us in and around our home. (Indoor outdoor, but mostly in our neighborhood) Inside dogs, because I don’t believe outside dogs should be a thing. But with walks 4-7 times a day. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I am. Almost every day. Almost all day. | ||||||
Where would dog eat? |
On the food mat in the kitchen | ||||||
Where would dog sleep: |
In her own kennel if she felt comfortable their, or in bed with us. | ||||||
Play & exercise: |
We take walks all day long but also have many toys inside to play with. We also have a corgi already so we’d have a lot of friend time too. We can go outside and play fetch. Or play inside with tug of war and wrestling. | ||||||
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: |
Rent/lease home | ||||||
Landlord info: |
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May we contact your landlord? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
We have a back yard, but there’s nothing really in it. Just a patio with table and chairs. And a small grill. | ||||||
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? |
Kayla Liner | ||||||
Willing to train children? |
If we were to somehow miraculously have a child. We would teach it. But, we do not want children and appropriately prepared against such things. | ||||||
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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 of course. If I have to spend all day with them and try to sort it out and get them comfortable that is what I’ll do. | ||||||
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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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