Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 06/11/2020 | 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), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Male, 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 |
|||||||
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 both of us! We are an engaged couple excited to get married and make our family whole with a corgi! | ||||||
Why do you want a Pembroke? |
While I know corgis are adorable and everyone holds a place in their heart for a corgi, we really believe this breed was meant for us. I have avidly researched the breed and love the history, the energy, and the personality these dogs have. We are an active couple that loves small-medium sized dogs. We are not afraid of giving dogs attention and stimulation, and feel that we are able to match the attention a Pembroke needs. | ||||||
Activities planned with Pembroke: |
Walking/hiking, joining runs (we both are runners), hide and seek toys, dog park trips, fetch games, and working on dog obedience (as corgis are intelligent) | ||||||
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: |
My fiancé and I had a lengthy discussion about this. We would call the dogs attention to it right away, and start by putting a hand in front of the dog’s face, and loudly say “NO NO NO” so it learns. We read that corgis can be resistant to some training because of how smart they are, so we would be open to either a spray bottle or even guiding a dogs head down (NEVER too forcefully) to enforce the training. We have even discussed crate discipline, however as corgis are active dogs, this would be done sparingly. We would also incorporate positive reinforcement frequently, especially in the early weeks of training/establishing routines. | ||||||
Discipline: |
Routine building (which I read is great for corgis), positive reinforcement through treats and “GOOD DOG”, using a sound frequency button for barks, and the negative reinforcement techniques mentioned above. | ||||||
Where would Pembroke spend the majority of the time: |
In our home with us, and going on frequent walks. I don’t believe in leaving a dog to only part of the home, especially with an active dog. | ||||||
Discipline: |
Routine building (which I read is great for corgis), positive reinforcement through treats and “GOOD DOG”, using a sound frequency button for barks, and the negative reinforcement techniques mentioned above. Where would Pembroke spend the majority of the time: In our home with us, and going on frequent walks. I don’t believe in leaving a dog to only part of the home, especially with an active dog. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, my fiancé works from home and would be around to give the dog multiple bathroom breaks. He tends to jog midday, which is a GREAT way to release some gorgeous corgi energy. | ||||||
Where would dog eat? |
In our kitchen, out of their food and water bowls. We would feed the corgi 2-3 times a day, pending vet recommendations. | ||||||
Where would dog sleep: |
We would feel out the needs of the dog, but either on our couch, in a dog bed or even at the foot of our bed if the dog had separation anxiety. | ||||||
Play & exercise: |
This is my favorite question. I love hide and seek toys, tug of war ropes, jogging, hiking, and taking multiple walks a day with dogs. I am very active and can match the energy level of the dog, so we would assess the dogs energy needs and add or take away walks if needed. We love being outside and live close to the lakeshore, so it would be perfection for us to walk down the lakeshore path with our corgi. | ||||||
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 an iron fence taller than we are! | ||||||
Living arrangements: |
Rent/lease 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? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
We live in an apartment, but it has a fenced in courtyard with fences on every exit so the dog couldn’t get loose. No swimming pools or dangerous amenities. | ||||||
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? |
Myself, but my fiancé is equally as excited | ||||||
Willing to train children? |
We do not have children, but after we get married (in 1 year!) and make our family we absolutely will stress the importance of treating our dog as family. | ||||||
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? |
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Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Absolutely, our Pembroke would be our priority. | ||||||
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} |