| Date & Referral Source | |||||||
| State: | Date of Application: | 12/28/2018 | Referred by: | Other | |||
| 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, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
I have been volunteering with local rescues for the past 4 years. My current dog is from the first one I joined. I am very patient and understand that dogs need time to decompress when joining a new family. I also occasionally dog sit as well. | ||||||
| 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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How long owned? |
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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 and my malinois mix | ||||||
Why do you want a Pembroke? |
One reason I love corgis is their size. I have a dog who can be a little intimidated by dogs her size. Even though they're tiny, they have silly and goofy personalities which fits well with my home. I like to go in day hikes with my dog and want another dog to keep up with us. Did I mention how cute their butts are? | ||||||
Activities planned with Pembroke: |
Walks, hikes, possiblity of getting agility equipment, swimming at a local dog park, fetch, snuggling. I have a dog walker that comes on days when I have masters classes. | ||||||
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: |
Positive reinforcement, redirection. Animals don't realize they are making a mistake. They so what comes naturally. | ||||||
Discipline: |
Positive reinforcement, using a firm "No.". I don't believe in hitting a dog. Crate training. | ||||||
Where would Pembroke spend the majority of the time: |
Until they are potty trained, decompressed, and are familiar with the routine, they will be crated when I am gone. Eventually they will have full reign of the house. When I'm home they will go where they please. | ||||||
Discipline: |
Positive reinforcement, using a firm "No.". I don't believe in hitting a dog. Crate training. Where would Pembroke spend the majority of the time: Until they are potty trained, decompressed, and are familiar with the routine, they will be crated when I am gone. Eventually they will have full reign of the house. When I'm home they will go where they please. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I am during the summer and school breaks. I have a neighbor that often checks ony dog as well as a walker. | ||||||
Where would dog eat? |
In the kitchen, but it's bowl will be in a different spot than my current dog's. | ||||||
Where would dog sleep: |
With me or a dog bed. | ||||||
Play & exercise: |
Once they are no longer crated, they can play during the day with my dog. She loves to run around with yard with other dogs. During the week I try to walk my dog as soon as I get home. In the summer we often go to some hiking trails and spend a few hours walking and exploring. | ||||||
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? |
Chain link fence on a corner lot. | ||||||
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: |
I live in a small house, but it's on a corner lot, so there's ample yard space. There are no large pools, just a plastic kid's pool my dog likes to lay on when it's hot. There are two large maple trees with plenty of squirrels and birds to chase. | ||||||
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? |
Perissa Jowkar | ||||||
Willing to train children? |
Absolutely. The dogs came first. As a young child, I wasn't properly trained with how to interact with animals. As a result, one aunt's cat became fearful of humans because I didn't pick her up right. Another aunt's dog bit me, leavine with a fear of dogs for a few years.
When introducing my dog to new children, even though I know she won't hurt them, I discuss the correct way to pet her and to let her smell their hand first. |
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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. My guinea pig is actually my dog's pet (long story). She adores him and won't even let my cat near him. He's in a separate room so I can easily keep the door shut until I trust the new pup. | ||||||
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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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