Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 07/05/2019 | Referred by: | Website | ||
Contact Information | |||||||
First name: | {First Name:98} | Last name: | {Last Name:97} | First name 2: | {First Name 2:94} | Last name 2: | {Last Name 2:93} |
Address | |||||||
Street: | {Street Address:3} | ||||||
City: | {City:4} | State: | {State:5} | Zip: | {Zip:6} | ||
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, Very Active |
Other preferences: |
I/we have been engaged with corgi rescue for almost 20 years, starting when we lived in Arkansas. We are on our fifth rescue corgi. We have rescued old corgis, corgi pups, corgis with terrible health problems, and healthy dogs.
We have usually had two corgis at a time. We lost our female corgi due to heart disease about a month ago, which was devastating. We have a remaining lovely male corgi, Henry, who is at least 10 (we don't know exactly because we don't know how old he was when we adopted him). Henry is calm and loving, and he and our female dog were great friends. He seems fine being by himself, but he was much more active when he had a companion. We would obviously need to see if Henry and a second dog got along, but I thought I would at least send in an application and get on your radar screen. We would also be willing to consider fostering. Before we moved to Michigan I was the president of the board of the Central Arkansas Rescue Effort for Animals. We are fortunate in that Paul is retired, so our dogs are walked multiple times a day and get lots of exercise. We enjoy hiking with our dogs as well. |
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Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
{Dog Name (Most recent/ current first):24} | ||||||
Dog description: |
{Description of Dog:25} | ||||||
How long owned? |
{Length of time owned:26} | ||||||
Where is this dog now? |
{Where is this dog now? (Explain if you no longer have the dog):37} | ||||||
Dog 2 | |||||||
Dog 2 name: |
{Dog Name (Most recent/ current first):30} | ||||||
Dog description: |
{Description of Dog:33} | ||||||
How long owned? |
{Length of time owned:35} | ||||||
Where is the dog now? |
{Where is this dog now? (Explain if you no longer have the dog):39} | ||||||
Dog 3 | |||||||
Dog 3 name: |
{Dog Name (Most recent/ current first):29} | ||||||
Dog description: |
{Description of Dog:32} | ||||||
How long owned? |
{Length of time owned:36} | ||||||
Where is dog now? |
{Where is this dog now? (Explain if you no longer have the dog):27} | ||||||
Dog 4 | |||||||
Dog 4 name: |
{Dog Name (Most recent/ current first):28} | ||||||
Dog description: |
{Description of Dog:31} | ||||||
How long owned? |
{Length of time owned:34} | ||||||
Where is this dog now? | {Where is this dog now? (Explain if you no longer have the dog):38} | ||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
The two of us (Paul Ward and Laura Lamps, married couple). We do not have human children. We are 59 and 52. | ||||||
Why do you want a Pembroke? |
As above, we are on our sixth overall and fifth rescue corgi. We love the breed because they are intelligent, active, and have a lot of personality. We have lots of experience with the breed and love them dearly. | ||||||
Activities planned with Pembroke: |
Walk, hike, swim if they liked water, play with toys, go to the park, and roll in the grass. | ||||||
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 |
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Do you have a veterinarian? |
Yes | ||||||
Vet contact info: |
{If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52} | ||||||
Will handle mistakes Pembroke makes like this: |
Never with physical discipline. We try to use calmly spoken firm commands such as "off," "no," etc., as well as training both in a class and in our home. If it's a mistake like chewing something off-limits, we redirect to an appropriate toy. If it's a bathroom mistake, we try to catch it quickly, say no, and take the dog outside. | ||||||
Discipline: |
As above, never physical. We have occasionally used a can full of pennies to shake if we were trying to distract their attention to something else. We have used obedience class and in-home training we well. We have crate-trained younger dogs, but our older dogs we have been able to house-train without crates. | ||||||
Where would Pembroke spend the majority of the time: |
My husband is retired and at home a lot of the time, so the dog would be with one or both of us (and our other corgi) at our home and yard. When both of us have to be gone for any length of time we hire dog walkers and/or sitters. | ||||||
Discipline: |
As above, never physical. We have occasionally used a can full of pennies to shake if we were trying to distract their attention to something else. We have used obedience class and in-home training we well. We have crate-trained younger dogs, but our older dogs we have been able to house-train without crates. Where would Pembroke spend the majority of the time: My husband is retired and at home a lot of the time, so the dog would be with one or both of us (and our other corgi) at our home and yard. When both of us have to be gone for any length of time we hire dog walkers and/or sitters. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, as above. | ||||||
Where would dog eat? |
We feed Fromm's dry dog food | ||||||
Where would dog sleep: |
in a dog bed in our bedroom | ||||||
Play & exercise: |
4-6 times a day outside | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
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: |
{If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67} | ||||||
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 | ||||||
Description of yard: |
Small yard, not fenced, on a quiet street. No pool or other dangerous features. We exercise on a leash multiple times a day. We do not allow our dogs outside unleashed. | ||||||
Household members: |
{Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75} | ||||||
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? |
Both of us | ||||||
Willing to train children? |
We do not have children | ||||||
Any allergies? |
No one is allergic. | ||||||
Current pets: |
{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80} | ||||||
Current pets dog friendly? |
No, some of our current pets are not 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 had to do this before. | ||||||
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: |
{Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87} |