Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 08/24/2020 | 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 | Gender preferred: |
Either a Male or a Female | Color preferred: |
Sable & White, Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
Our Sheltie passed away earlier this month and he would have been 13 on 8/31. I swore I would not get another dog because I don't want to suffer this hurt ever again, but my heart feels incomplete. Bucky can't be replaced so I was looking for a different breed and my son thinks I would love a Corgi. He is about to start college at MSOE this fall so he will only be here occasionally. One of his good friends has a Corgi and he says it is his favorite dog other than our dog Bucky. | ||||||
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? |
For me!! My heart feels a void from losing our dog we raised since 6 weeks old and I am ready to love and care for another furry family member! | ||||||
Why do you want a Pembroke? |
I have researched them. My son loves his friend's Corgi. I think they are adorable and I would love to snuggle with one 🙂 I love intelligent dogs and I am accustomed to a herder so I am respectful of that, not annoyed like some people are. I love the ones that look tan and white the most (probably because my Bucky was white with tan, not the normal tri-color Sheltie most people are familiar with) but I am of course open to any color! | ||||||
Activities planned with Pembroke: |
He or she would be part of the family and I would want him or her around whenever possible. If we are outside having a barbecue with friends or family, they will be there. We take them on vacation to pet-friendly hotels and resorts. We take them on walks and to parks where it is allowed. I would NEVER leave a dog in a car though, I leave them at home to grocery shop and run errands unless the weather is perfect and I have somebody with me who will be with them in the car. | ||||||
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: |
Clean it up and consider professional training if needed. Positive reinforcement when he or she shows good behavior. | ||||||
Discipline: |
Tell him or her no, remove items that they are chewing or destroying, distraction, trying to keep them busy with attention and toys, and exercised to prevent restlessness and boredom. | ||||||
Where would Pembroke spend the majority of the time: |
In our house | ||||||
Discipline: |
Tell him or her no, remove items that they are chewing or destroying, distraction, trying to keep them busy with attention and toys, and exercised to prevent restlessness and boredom. Where would Pembroke spend the majority of the time: In our house |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Not all the time. I have read that Corgis are OK with being alone during some workdays. Our dog Bucky was always happy to see us when we got home but never showed signs of distress if all of us were gone. My husband works 7:30 – 3:30 and is off all summer and has lots of days off. I work remotely often, have 5 weeks vacation and when I do go to the office I go in after 9 or 9:30 am and come home later so the day shouldn't be too long for the dog. | ||||||
Where would dog eat? |
in our kitchen | ||||||
Where would dog sleep: |
Wherever he or she feels most comfortable. Our sheltie had a bed but as he got older he liked to roam around and sleep at the foot of everyone's bed or in the hall if the doors were shut. He had his gallbladder removed due to liver/gallbladder disease almost 5 years ago and ever since that illness could not get up on a bed or couch. | ||||||
Play & exercise: |
We loved to offer toys and play "fetch" and "tug of war" with our dog. I loved watching him enjoy his rawhide toys and bones. The first person up (usually my husband) took him out in the morning, I would walk him before leaving for work, and when the first person came home and again later, than right before bed. Some were short walks just to do his business, some are longer walks for exercise until he was much older and couldn't walk far without getting tired. | ||||||
How will you exercise your dog? |
On leash | ||||||
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: |
normal back yard, deck, hot tub on patio slab that is always covered. There is a very small water feature my son made that he keeps goldfish and plants in. There is also a small fire pit he built but rarely used, only some nights and the dog is not going to be out there unless leashed and away from it. | ||||||
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? |
Lisa Hall | ||||||
Willing to train children? |
N/A my children are 33 and 18 and quite the animal lovers. My 7-year-old granddaughter is also an animal lover and has a dog and 2 cats until one cat recently passed away. They are only over at our house about once a month. | ||||||
Any allergies? |
One or more family members might be allergic to dogs. | ||||||
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? |
n/a and I am the one allergic to dogs but only a 2 on the scale and I take allergy meds daily because I am more allergic to pollens, dust and mold. | ||||||
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} |