| Date & Referral Source | |||||||
| State: | Date of Application: | 12/16/2018 | Referred by: | Friend | |||
| 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, 10 years +, Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Sable & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
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| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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? |
Myself. I have been looking to give an adult or senior corgi a home for companionship. | ||||||
Why do you want a Pembroke? |
Pembroke corgis are beautiful dogs, and I love their strong and independent nature. My family has always owned herding dogs, so I am used to this personality. I understand that corgis are often very active and high energy, but that is why we are hoping to adopt an older adult to senior corgi who may be starting to settle down. We have done quite a bit of research on the breed to make sure they would fit in our lifestyle, and we believe we would be an excellent home for a corgi. | ||||||
Activities planned with Pembroke: |
Go on walks and hikes, trips to the dog park, road trips, etc. An overall adventure buddy. We would further plan activities depending on the age, and energy levels of the 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: |
With calm, assertiveness to let the dog know that they did something wrong. Also, the best time to let the dog know they did a mistake is while the mistake is happening, if possible. Otherwise, the dog could be confused. I read an article that says: “Any type of correction must be enforced only at the time of the infraction. This means you should verbally correct your dog while he is in the act of grabbing your shoe for a good chewing, or during the destruction. The BEST time to scold is when he is grabbing your shoe — the dog will know you’re disciplining him for interacting with the shoe at all, which should be off-limits to him.“ | ||||||
Discipline: |
By the method described above. Positive reinforcement is the best method to show the dog the correct behavior. If the dog is not doing the correct behavior, saying the same command such as no or tsch (like the dog trainer Cesar) will register within the dog over time that the behavior is not right. | ||||||
Where would Pembroke spend the majority of the time: |
Inside with me, however we do have a yard that the dog can run around in. | ||||||
Discipline: |
By the method described above. Positive reinforcement is the best method to show the dog the correct behavior. If the dog is not doing the correct behavior, saying the same command such as no or tsch (like the dog trainer Cesar) will register within the dog over time that the behavior is not right. Where would Pembroke spend the majority of the time: Inside with me, however we do have a yard that the dog can run around in. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes | ||||||
Where would dog eat? |
Downstairs by the kitchen. | ||||||
Where would dog sleep: |
They would sleep in my room, or we’d leave the door open so the corgi would have a choice. | ||||||
Play & exercise: |
Yes, we would make sure they get atleast an hour of exercise everyday. | ||||||
How will you exercise your dog? |
On leash | ||||||
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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: |
No swimming pool. We have a 6 acre yard, with a small farm. We own two horses. | ||||||
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? |
Myself | ||||||
Willing to train children? |
I do not have any children | ||||||
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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 | ||||||
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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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