| Date & Referral Source | |||||||
| State: | Date of Application: | 11/27/2018 | Referred by: | Friend, Breeder | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
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? |
We just recently lost our second rescue Corgi, Cosmo and would like to welcome another Corgi into our home | ||||||
Why do you want a Pembroke? |
We are dedicated to the breed and have had two rescue corgis we adopted seperatly through Lakeshore in the past. Each dog was approximately 3 years old at adoption and lived to aroun age 14. Both developed a common neurological disorders and paralysis among corgis in their old age. Despite the heartbreak and challenges of caring for a dog with those complications we are happy to bring another corgi into our home. | ||||||
Activities planned with Pembroke: |
WALK! Our corgis were both very happy walkers and well liked in the neighborhood. Our first, Kirby loved to participate in agility training. Our second, Cosmo had serious issues with other dogs, and never got over his socialization problems, but enjoyed playing ball in our hard and a vigorous walking routine. | ||||||
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: |
Firm “No”, must be done immediately | ||||||
Discipline: |
Depending on the behavior, a verbal “No”, firmly positioning the dog down in a laying position rolled on his back. We always found this to be the most effective but must be done during the “act”. In general, we can accomplish more with treats and toys, before bad behavior begins. | ||||||
Where would Pembroke spend the majority of the time: |
With us in our home. If crate tolerant, I would consider crating. We have a dog walker who we used regularly for daily walks during our work hours. | ||||||
Discipline: |
Depending on the behavior, a verbal “No”, firmly positioning the dog down in a laying position rolled on his back. We always found this to be the most effective but must be done during the “act”. In general, we can accomplish more with treats and toys, before bad behavior begins. Where would Pembroke spend the majority of the time: With us in our home. If crate tolerant, I would consider crating. We have a dog walker who we used regularly for daily walks during our work hours. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
We are both working but have a dog walker we use for mid-day visits. | ||||||
Where would dog eat? |
In our laundry room we have an area for pet feeding, we also have a dog shower | ||||||
Where would dog sleep: |
Our dogs have always used multiple dog beds located throughout the house, if crate tolerant, also in a crate. | ||||||
Play & exercise: |
We build play routines and training around mealtime. We also have walk routines for after breakfast and after dinner along with Mid—day walks with our dog walker or with us on weekends | ||||||
How will you exercise your dog? |
On leash | ||||||
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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? |
7 foot fence, re-built 5 years ago. The property is approximately 70’ x 120’ with the back yard completely enclosed | ||||||
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: |
Large yard with a patio, deck and garden | ||||||
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? |
Kathy, feeding. Brian, walking | ||||||
Willing to train children? |
We have no children/ grandchildren. We do not allow children we meet on the street to pet our dog unless the dog is familiar with the child and their parent is present | ||||||
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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? |
N/A | ||||||
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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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