Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 06/15/2020 | Referred by: | Other | ||
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: |
Female | Color preferred: |
Red & White, Red Headed Tri, Sable & White | Activity level: |
Outgoing, Playful, Energetic, Very Active |
Other preferences: |
Good with other corgis/dogs. We have one 4 year old female corgi. | ||||||
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? |
My husband and I. | ||||||
Why do you want a Pembroke? |
Our first dog as a married couple has been our princess, Ophelia, a four year old female corgi. We love her energy, snuggly personality but also very independent. She is the head of the household! Corgis are so smart and loving. We love that she keeps up with our hiking but when she’s inevitably tired she’s not too big to carry. We love the corgis’ size because there’s plenty of room to have them in the car for travel and even on our kayaks (with life jackets of course!) | ||||||
Activities planned with Pembroke: |
Hiking, kayaking, daily walks, dog parks, road trips, camping. We’re hoping to get a jump set up in our back yard and a little agility course. | ||||||
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: |
We would use positive reinforcement for training, treats, praise, etc. If they make a mistake we would keep trying to associate the correct way of whatever the situation is with treats and praise. We don’t believe in harsh tones or hitting! Just take the time to train and learn together. | ||||||
Discipline: |
We do use the water bottle squirt method on our corgi now. We don’t spray her at this point, just having it out she knows to not bark or whatever she’s doing that we don’t want to continue. We really believe in focusing on the good behavior with treats and praise. | ||||||
Where would Pembroke spend the majority of the time: |
Inside the house and outside in our newly fenced backyard but ONLY when someone is home. Then wherever we are! | ||||||
Discipline: |
We do use the water bottle squirt method on our corgi now. We don’t spray her at this point, just having it out she knows to not bark or whatever she’s doing that we don’t want to continue. We really believe in focusing on the good behavior with treats and praise. Where would Pembroke spend the majority of the time: Inside the house and outside in our newly fenced backyard but ONLY when someone is home. Then wherever we are! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I am self employed and work from home typically. My husband has been working from home during the covid19 pandemic with no plans to return to the office soon. | ||||||
Where would dog eat? |
Inside the house, separate from our corgi now. Our girl hasn’t had to share food space with another a dog. We would keep them separate during food time until possibly until they could be on the same room but that would depend on how well they do. But we have plenty of room for them to be separated. | ||||||
Where would dog sleep: |
She would be more than welcome in our bed. Our girl now sleeps under the bed in her dog beg and blankets around. Our new corgi would have a spot set up in our bedroom and see how she likes that then adjust to wherever she feels comfortable. | ||||||
Play & exercise: |
We just got a new fenced in back yard! I’m hoping to get a little jump. I take my corgi now on walks around the neighborhood every morning I can, at least 4 times a week but typically more. We frequently visit dog parks and are just a few minutes from them. We love to take our girl kayak 1-3 times a week during the summer and let her swim. With a life jacket! | ||||||
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? |
We have a solid 6’ privacy fence 3/4th around the yard then a 4’ hog wire/wood framed fence the other 1/4 which our back door and deck open right up in. | ||||||
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: |
|||||||
Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
No pools. A large ish yard, almost half acre. Completely fenced in. We have a fire pit but would never leave the fire unattended. Two large trees and lots of ferns. We are currently getting out any plants that are poisonous to dogs right now. | ||||||
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? |
Julie Freyholt and Chandler Freyholt | ||||||
Willing to train children? |
We do not have children and are not planning on having children at all. | ||||||
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! We understand it is a process and a commitment. As I said before we are not having children, so we are fully invested in our dogs. | ||||||
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} |