Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 02/10/2020 | 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, Playful |
Other preferences: |
gets along with other dogs (male and female), small animals (just wont eat them), can be calm in the home, good with older children (13yrs) | ||||||
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 family | ||||||
Why do you want a Pembroke? |
I am a corgi nut. I have had other family members who owned corgis and fell in love with their temperaments. When I received my own corgi, it just felt right. It is a breed I understand and enjoy working with. Over the last 8 years, I have not only found myself other friends with great knowledge of the breed but I also have connections with breeders internationally who have spend much time with me to ensure I had all of the health information as well. I love the Pembroke but while in Germany, the cardigan was a little more popular and I can say that I am well versed in the Welsh corgis as a whole! | ||||||
Activities planned with Pembroke: |
It is much harder to go out with my dogs here in the US so we mainly stick to parks, walks, and lots of play dates with other dogs and human friends. When we lived in Germany for 4 years, our corgi came with us EVERYWHERE. There were not may times he was home alone. Always out socializing, a lot of walking/touring, enjoying time with us in restaurants, and many car rides. My corgi has a love for tennis balls and "attacking" the shower, water hose, etc.. | ||||||
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: |
redirect and positive reinforcement, | ||||||
Discipline: |
redirect and positive reinforcement. The most extreme I have to implement, is a "time-out" in their safe space/kennel. In those instances, there is never a raised voice or angry demeanor, simply just time to "cool off" before positive reinforcement. I have been very fortunate where I have not had to attend any type of behavior classes or need outside help to reign in an unruly dog. | ||||||
Where would Pembroke spend the majority of the time: |
We currently have our hound mix who must be kenneled when we are not home as he becomes destructive when bored. Otherwise, I do not kennel our corgi and both dogs have free reign of the house. | ||||||
Discipline: |
redirect and positive reinforcement. The most extreme I have to implement, is a "time-out" in their safe space/kennel. In those instances, there is never a raised voice or angry demeanor, simply just time to "cool off" before positive reinforcement. I have been very fortunate where I have not had to attend any type of behavior classes or need outside help to reign in an unruly dog. Where would Pembroke spend the majority of the time: We currently have our hound mix who must be kenneled when we are not home as he becomes destructive when bored. Otherwise, I do not kennel our corgi and both dogs have free reign of the house. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I am a full-time student and work part-time but I am home during the day when I can be. Right now, I have 1 full-day of school, 2 other days where It is only the morning or afternoon. I am a firm believer in take the dogs with when you can and if we are gone extended times of the day, have someone come check on the dogs. | ||||||
Where would dog eat? |
Our hound rescue had serious food guarding when we first got him so he ate in his own enclosed area. Since both dogs eat within the same room at opposite ends and have learned to respect the space of the other dog until they walked away from their bowl. The dogs are never left unattended while eating just as a precaution. If there is a need for more space, I simply give them their own room for eating. | ||||||
Where would dog sleep: |
Our hound mix sleeps in our son's room on his bed, and our corgi sleeps on our bed or the futon at the end of the bed depending on how much room he would like. The entire room is open to the dogs and would rather they sleep where comfortable. | ||||||
Play & exercise: |
Have multiple dogs has its perks with play and excercise. Our corgi is not a "lets get crazy and play but our rescue LOVES to play. Our corgi loves tennis balls so we ensure plenty of time in the day to let him chase them. We go for walks as often as we can or take them to the dog park to burn off energy. | ||||||
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? |
solid 8ft panels around the whole yard with a heavy gate. | ||||||
Living arrangements: |
government owned homes | ||||||
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: |
|||||||
Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
Full enclosed yard with a patio. We set up and tear down a kiddy pool daily in the summer for the dogs when supervised. The only other hard fixture in our yard is an AC unit that can easily be sectioned off if need be. | ||||||
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? |
Terri | ||||||
Willing to train children? |
Yes. Logan is responsible for feeding the dogs and cleaning up the yard after them. He is also required to help walk them and we work on proper handling. | ||||||
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? |
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. Sometimes it just takes the right environment or activity to realize they are friends. | ||||||
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} |