| Date & Referral Source | |||||||
| State: | Date of Application: | 01/02/2019 | 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: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Outgoing, Quiet, Playful, Energetic |
Other preferences: |
|||||||
| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
|||||||
Dog 1 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is this dog now? |
|||||||
| Dog 2 | |||||||
Dog 2 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is the dog now? |
|||||||
| Dog 3 | |||||||
Dog 3 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
Where is dog now? |
|||||||
| Dog 4 | |||||||
Dog 4 name: |
|||||||
Dog description: |
|||||||
How long owned? |
|||||||
| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
|
Who is this dog for? |
Me. | ||||||
Why do you want a Pembroke? |
I love how intelligent, protective, and lovable corgis are. I adore how they look. When my kids were young we absolutely wanted a corgi, rescued one in need, and loved him so much. We had him for 10 years through thick and thin. | ||||||
Activities planned with Pembroke: |
I live right on a 10 mile river walking trail, with a dog park 300 yards away. I can bring my corgi to work, which is a 15 minute walk, and keep in my office. Would like to train it in agility. I have a vacation property where my dog can be safely off leash. I may even get some chickens he or she can herd 🙂 Cudding, brusing, playing in the house. My adult children will also love to visit and play with my corgi. |
||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
|
Money for basic care? |
Yes | ||||||
Money for unforeseen medical expenses? |
Yes | ||||||
Willing to house train? |
Yes Willing to do formal training? Yes |
||||||
|
Do you have a veterinarian? |
No | ||||||
Vet contact info: |
|||||||
Will handle mistakes Pembroke makes like this: |
First, I would work from minute 1 to establish a caring rapport with my corgi. In that context I would let it know with tone of voice and facial expression that it behaved wrongly. It might need something like a time out. But I would prefer to rely on positive reinforcement for good behavior. | ||||||
Discipline: |
Positive and selective negative reinforcement with rewards (praise, pets, snacks, etc.). Never hit, never yell at (our previous corgi had a bad early life experience in a puppy mill, we were told, and had some psychoses around closing doors, loud noises, etc. so I am well aware that corgis can both be strong-willed and independent but also sensitive.) | ||||||
Where would Pembroke spend the majority of the time: |
In my very large house, some out in fenced yard, and out on walks and playing as much as possible. I also have a housemate who is committed to helping care for a corgi. | ||||||
Discipline: |
Positive and selective negative reinforcement with rewards (praise, pets, snacks, etc.). Never hit, never yell at (our previous corgi had a bad early life experience in a puppy mill, we were told, and had some psychoses around closing doors, loud noises, etc. so I am well aware that corgis can both be strong-willed and independent but also sensitive.) Where would Pembroke spend the majority of the time: In my very large house, some out in fenced yard, and out on walks and playing as much as possible. I also have a housemate who is committed to helping care for a corgi. |
||||||
|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I often work at home and so does my house mate. The corgi would have someone round more often than not. | ||||||
Where would dog eat? |
Kitchen. | ||||||
Where would dog sleep: |
Floor bed, maybe in my bedroom or possibly alcove in living room. | ||||||
Play & exercise: |
Lots. Walking to work, on river walk, dog park, fenced yard, etc. Plus my house is large enough I could actually set up a skills/agility training course 🙂 | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
|
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? |
Part is 6' high wooden fence with gates, no escape. Within that is a chain link dog run fence to be let out to do their business, enters kitchen door. The yard has full view from south facing glass walls. | ||||||
Living arrangements: |
Own home | ||||||
Landlord info: |
|||||||
May we contact your landlord? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
|
Description of yard: |
Yard enclosed by high wood fence. Is grass and flower gardens/shrubs. On a river bluff. Some wildlife around. Basically secluded. I only have 1 neighbor. The rest is fences, city park across river, woods. | ||||||
Household members: |
|||||||
Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
|
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? |
Me, Christian Smith | ||||||
Willing to train children? |
My children are adult and grew up with a corgi, but yes, of course for any other children that come around. | ||||||
|
Any allergies? |
No one is allergic. | ||||||
Current pets: |
|||||||
|
Current pets dog friendly? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Naturally. | ||||||
|
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. | ||||||
|
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: |
|||||||