Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 07/31/2020 | 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: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Black Headed Tri, Sable & White, 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? |
The corgi is for us. | ||||||
Why do you want a Pembroke? |
My parents raised Labrador Retrievers for the Seeing Eye For the Blind organization. We always has at least three dogs in the house at all times, and at least one litter a year for 10 years. It did not fail for one of the dogs to misbehave by jumping up on the dining room table and stealing our thanksgiving or Christmas turkey. It was then at the age of 8 or so that I decided that I would own small dogs with big personalities. I think Tasha Tudor may have influenced me as a young girl, because it was the Corgi that I decided I would have one when I grew up. I read about Corgis, talked to owners, and decided that I wanted to find a young dog. I adopted Ruby from Tailwagers 911. She came from Alabama. She was 2 years old. I think that she may have been surrendered because of the owner's death. She was very partial to older men and would greet them as dear friends. This made my elderly neighbor so happy. | ||||||
Activities planned with Pembroke: |
I would work on teaching the Corgi tricks. Ruby loved her 45 minutes of training each day. Corgis have to have jobs. Her job was learning new behaviors and practicing old ones. I would walk my corgi at least 4x a day. Corgis need to be exercised. Until her last year of life, when she really began to slow down, Ruby was walking 1 mile each walk. I would hang out in the back yard with my Corgi because there is nothing nicer than sleeping on your back on the cool grass while the sun gently caresses your tummy. I would brush my corgi. They do shed twice a year: January – July and August – December. I would love my Corgi in word and deed. | ||||||
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: |
As a former special education teacher, I realize the onus is on the teacher. If my Corgi made a mistake, I would look at the mistake and work out how I could train the dog or how I could train me. When Ruby first came to my home, she chewed my favorite shoes. Did I scold her? No. The deed has been done. I put my shoes in a basket with high sides and she never ate another shoe. | ||||||
Discipline: |
I use positive reinforcement. With my students, I found that using a pleasant voice, and using a consistent tone helped them work. I used that same voice with Ruby. There is no need to shout or yell. That only scares the dog. With Corgis,f ood is a great motivator and most Corgis want to please you. In Ruby's last 6 months of life, she had occasional bouts of incontinence. I cleaned it up and moved on. Even with frequent trips outside, she still did pee on the floor. She was doing the best she could and I loved her for that. | ||||||
Where would Pembroke spend the majority of the time: |
With me and my husband. I work from home and he is retired. | ||||||
Discipline: |
I use positive reinforcement. With my students, I found that using a pleasant voice, and using a consistent tone helped them work. I used that same voice with Ruby. There is no need to shout or yell. That only scares the dog. With Corgis,f ood is a great motivator and most Corgis want to please you. In Ruby's last 6 months of life, she had occasional bouts of incontinence. I cleaned it up and moved on. Even with frequent trips outside, she still did pee on the floor. She was doing the best she could and I loved her for that. Where would Pembroke spend the majority of the time: With me and my husband. I work from home and he is retired. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. My daughter and son in-law live upstairs from us. My husband is either in the house or working on a car in the garage. And myself. | ||||||
Where would dog eat? |
There is a dedicated spot where they would be feed in the house. | ||||||
Where would dog sleep: |
In our bedroom in their own doggie bed. | ||||||
Play & exercise: |
By taking my corgi on walks. I live on a dead-end street that has a gravel road that leads to a farm. The owners have let me walk my dogs through their farm for the last 11 years four times a day. In the morning we would walk down to the farm, at noon depending upon the weather, we would walk up the street. Then around 4 or so, it was time to get in the car and go to a nature preserve. Corgis love variety. Living in Mequon and I am so fortunate to have a nature preserve less than 2 miles from my house. Then in the evening with a flash light, we would go for one last walk. Depending on weather, it could be a short pee break or if it was walkable weather, we could take a stroll up the street. Also once a day in the house, we would work on learning new behaviors, and praciticing old one. Also in the winter I would shovel the snow to make corgi course for Ruby to use in the evening. She and I would play chase around the course. | ||||||
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: |
No swimming pool. We do live on the Milwaukee River. My dogs both are leashed in the yard. They are not allowed to roam. We do have a dock in the summer and both dogs would love to go down the stairs to the dock. When we were on the dock, Ruby had her own flotation device…just in case she were to fall in. I took her kayaking, and boating. | ||||||
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? |
Karen A Dredge– I go by Ann | ||||||
Willing to train children? |
I don't have any smalll children, but I am very careful when small children approach my Corgi. Corgis are magnets for small children. Children need to be instructed how to approach the dog, and if they listen well, they may be luck y enough to pet a Corgi. | ||||||
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. | ||||||
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} |