| Date & Referral Source | |||||||
| State: | Date of Application: | 10/04/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
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| 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Playful, Energetic |
Other preferences: |
Must be dog friendly and kid friendly. | ||||||
| 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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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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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? |
Our family is interested in adopting a Pembroke. We live on a mini farm with a fenced acre. We currently have a 10 month old husky and a 13-year-old Belgian Malinois. I have been involved in showing dogs in performance (and some conformation). I have had owned or still own a German shepherd Mix, two Belgian Malinois, an Australian shepherd, and a husky. | ||||||
Why do you want a Pembroke? |
I've always wanted a Pembroke! Being in the dog show world, I've met many different corgis. Not only do I love how they look, but more importantly I love their "big" dog attitude in a short dog's body. We would like another herding dog to show in performance events. | ||||||
Activities planned with Pembroke: |
agility, obedience, hiking, rally obedience, cuddling. | ||||||
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: |
The individual dog's personality would need to be considered. Being firm, consistent, and fair are important. | ||||||
Discipline: |
no, redirects, short time outs | ||||||
Where would Pembroke spend the majority of the time: |
In the house free when we are home, crated when we leave. | ||||||
Discipline: |
no, redirects, short time outs Where would Pembroke spend the majority of the time: In the house free when we are home, crated when we leave. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
My husband is sometimes home, but his schedule varies | ||||||
Where would dog eat? |
We feed the dogs in separate areas of our kitchen. | ||||||
Where would dog sleep: |
Depends on the corgi. Free in the home if appropriate, crated if appropriate. | ||||||
Play & exercise: |
We exercise and play with our husky every day | ||||||
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? |
1 acre fenced. Husky proof! | ||||||
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: |
1 acre fenced rolling grass. two playsets. large barn | ||||||
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? |
Andrea Meyer | ||||||
Willing to train children? |
We take the way children treat dogs very seriously. Both of our children are required to treat dogs with complete respect. We started teaching proper respect of animals from the time both children were babies. | ||||||
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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 have boarded many dogs and have worked through such things | ||||||
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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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