Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 03/31/2020 | 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: |
0 months – 1 year (we rarely get dogs in this age group) | Gender preferred: |
Female, Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
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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? |
This Pembroke would be for my wife Sarah and myself. We both are dog lovers. We got married in December. I have a black lab that is two years old and I got him before I met Sarah. We both have always wanted a corgi and we would like a dog that is raised by both of us. We want another companion in our family. | ||||||
Why do you want a Pembroke? |
My wife and I are dog lovers. We both love Corgis and have always wanted a Corgi. To be specific, I love working dogs; they match my personality as a high energy, active individual. In college, people knew that I loved Corgis so much that they said my "spirit animal" is a corgi. My wife wants a corgi for several reasons. She likes playful, affectionate dogs, however wants a smaller dog, as we already have a Labrador (got him before I met my wife). We both love corgis, but after doing some serious research, deliberation, and compromising, we always come back to corgis and that is what we decided we would like to adopt. It's the best of both worlds as the corgi is a big dog in a small package, playful, affectionate, loyal, and I think would be a wonderful addition to our family. | ||||||
Activities planned with Pembroke: |
We are social people and I am very active. We take our current dog on walks and play in the park by our house. We also have a fenced yard that we can play in. My best friend's parents live close by and we go over there and visit with their two dogs and let them play and run around in their 2 acre lot (also fenced). I would like to have a "job" for our new corgi, however I am unsure of what that would be. My lab is bird dog so I would have to find a "job" for our corgi that would match her (or his) strengths, even if it is grabbing the paper in the morning. That is TBD and dependent on the dog. | ||||||
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: |
Correct it quickly. You can't correct a mistake or discipline if the dog isn't aware of what they did. I reinforce good behaviors and habits and quickly redirect or correct poor or unwanted ones. | ||||||
Discipline: |
I have almost a tiered approach. First, you quickly show the dog the correct behavior or discourage unwanted behaviors. After they know what they're doing is wrong but still continue to do those behaviors, they know that have to go to their "place" (I crate trained my lab) for a short timeout. | ||||||
Where would Pembroke spend the majority of the time: |
With us! I am a firefighter and my schedule is 24 hours on, 48 hours off. So two out of three days, I am home. My wife is a teacher so she has to work school hours. When one of us is home, the dogs are out and living with us. When neither of us are home, the dogs will be going to their "place." Now on days that I am not home and my wife has a long day at school (due to coaching or extracurricular commitments at the school) we have it worked out that either one of my brothers or my dad comes over during the day to let the dog out, or they get to go to my parents house for the day (my parents live about 4 minutes away in Palatine). | ||||||
Discipline: |
I have almost a tiered approach. First, you quickly show the dog the correct behavior or discourage unwanted behaviors. After they know what they're doing is wrong but still continue to do those behaviors, they know that have to go to their "place" (I crate trained my lab) for a short timeout. Where would Pembroke spend the majority of the time: With us! I am a firefighter and my schedule is 24 hours on, 48 hours off. So two out of three days, I am home. My wife is a teacher so she has to work school hours. When one of us is home, the dogs are out and living with us. When neither of us are home, the dogs will be going to their "place." Now on days that I am not home and my wife has a long day at school (due to coaching or extracurricular commitments at the school) we have it worked out that either one of my brothers or my dad comes over during the day to let the dog out, or they get to go to my parents house for the day (my parents live about 4 minutes away in Palatine). |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
As stated above, I am home 2/3 days and my wife is a teacher. Most days there is someone home. If neither of us are able to be home, either one of my brothers or my dad will let out and play with the dogs until my wife is done. Otherwise, the dogs are at my parents where my dad is home all day and sometimes my younger brother (he's a college student at the community college in town). | ||||||
Where would dog eat? |
In the kitchen, same as Bubba (current dog). | ||||||
Where would dog sleep: |
Adopted corgi would sleep in our room. Bubba's crate is in our room and the corgi's crate would also be in our room. Bubba sleeps on the floor or the bed, but also has no problem sleeping in his crate. We would work with the corgi too. | ||||||
Play & exercise: |
We play several times throughout the day with our current dog in short sessions and take him for a walk every day too. Often times while on the walk I either stop in a field along the bike path (when it isn't being used for soccer or baseball) and throw a ball or a retrieving dummy around) or I go into the fenced tennis court and take my dog off-leash to run around and burn off some 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? |
It is a four-foot wooden fence. We also have bushes on two sides that are between 4-6 feet in front of the fence. | ||||||
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: |
We don't have a massive yard, but it isn't tiny either. We have a deck coming off of the house (it's a raised ranch) with stairs. We don't have a swimming pool, however we have a small kiddie pool that I like to put water in on a hot day for our black lab, but I dump it at the end of the day. The only additional fixture would be I will have a small, fenced vegetable garden in the corner of our backyard, that will be coming this summer. | ||||||
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? |
Phil Schroeder | ||||||
Willing to train children? |
Of course! Whether or not we adopt a corgi, this is a mandatory lesson for all our future kids. | ||||||
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? |
Absolutely. | ||||||
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} |