Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 09/14/2020 | Referred by: | Friend | ||
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: |
Red Headed Tri, Black Headed Tri, Any color | Activity level: |
Outgoing, Playful, Energetic, Very Active |
Other preferences: |
We are looking for a good companion for our 2 yo Golden Retriever so getting along with other dogs is a must for us. | ||||||
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? |
We are looking to add a corgi to our family. We lost our dog Homer age 9 in May. Homer joined our family 8 years ago through Coco's Heart Dog Rescue in Hudson, WI. Homer had been found on a Lake Traverse Reservation in South Dakota as a 7-8 month old puppy. Homer was diagnosed with Hydrocephalus due to an under developed brain. Homer had his challenges. He had a seizure disorder due to his brain diagnosis and he was not previously trained, as far as we could tell. We were able to control the seizures with the help of medications prescribed by our vet… and we worked hard with Homer on the training issues. Homer started having neurological issues at age 8. We did our best seeking the help of veterinary specialists but in the end, it seemed that his Central Nervous System was not adequately supported and it resulted in Homer's death at age 9. I loved Homer dearly and I know I can't replace him. Homer taught me to love the breed. We currently have a 2 year old, very active Golden Retriever named Gus and we are looking to add a friend for Gus to our family. We would hope to find a younger pup to match the activity level of Gus. I don't think we would be a good match with an older dog or a dog that was experiencing major health issues. We currently live full time in Milwaukee but we own a lake home in Central Minnesota… it's a 6 hour drive back and forth and we make it frequently. I don't think we would be a good fit for an older dog or a dog with special needs. When I volunteered as a Master Gardener, I had the pleasure of getting to know Sharon Morrisey (I think she's associated with your organization or was at the time). We enjoyed trading Corgi stories and I always enjoyed hearing about the dogs in her care. I have had many dogs with health issues… that's not the problem, it's just that I don't think it would be fair right now with our active lifestyle and travels. My first priority is to find a dog that gets along well with other dogs. Gus loves other dogs so the pup will have plenty of opportunity to chase and herd. I love the idea of rescue, but I am not opposed to a puppy from a breeder however, I would want to work with someone who is responsible and has a good reputation. I hope you will keep me in mind should you come across a Corgi pup that is a good match for our family. Thank you for your time and thank you for the work you do. | ||||||
Why do you want a Pembroke? |
I wrote a rather lengthy paragraph on the first page of this application regarding my first experience with a Corgi named Homer. I know I can't replace Homer… I wouldn't try. I loved Homer dearly and he taught me to love this breed. I love their spirit. I love their big dog attitude packed into a compact body. I think they are fierce and fearless and loyal companions. I love the joy of this breed… the dogs are happy and joyful but they also bring joy to everyone they meet. | ||||||
Activities planned with Pembroke: |
We currently have a 2 yo VERY active Golden Retriever. We would love to have a playmate for Gus. We own a lake home in Minnesota so there would be a good deal of travel back and forth. We are very active at the lake… swimming, boating, working in the garden. The dogs have the run of the property and at the end of the day… there's a spot for them on the end of our bed. When we are at our home in Milwaukee we spend time in our fenced yard and we take daily walks through the park. | ||||||
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: |
I consider myself an experienced dog owner and I strive to always use positive reinforcement for training. I do my best to stay patient and use non-physical correction. I have always taken my dogs to obedience classes for training and socialization. I don't raise my voice or spank. I know it's a long process. I will seek the help of trainers if necessary. | ||||||
Discipline: |
Verbal correction with positive reinforcement. Treats, toys… whatever works best with the individual dog. | ||||||
Where would Pembroke spend the majority of the time: |
I am currently not working outside the home so the pup would be with me the majority of the time. I enjoy walks and time outside and I enjoy having my pets with me whenever possible. | ||||||
Discipline: |
Verbal correction with positive reinforcement. Treats, toys… whatever works best with the individual dog. Where would Pembroke spend the majority of the time: I am currently not working outside the home so the pup would be with me the majority of the time. I enjoy walks and time outside and I enjoy having my pets with me whenever possible. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I am not working outside the home currently so with the exception of errands and social engagements, I'm usually home. My husband is currently working at home as well. | ||||||
Where would dog eat? |
We are big believers in crate training and have always found it helpful, at least initially, to feed our dogs in their crates. | ||||||
Where would dog sleep: |
We have dogs beds scattered throughout our home. We also have dog beds staged in our bedroom. I would probably opt to have the pup sleep in its crate until there's an established comfort level. I have always had a pet friendly house… they usually establish their favorite spots on their own. My furniture is dog friendly. | ||||||
Play & exercise: |
Gus, our Golden, will be a great play partner. He is active and loves to play with other dogs. We take daily walks… usually 2-3 per day. I subscribe to the philosophy that a tired dog makes for a happy dog owner! | ||||||
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 small yard in Milwaukee which is surrounded by a 4' high, wooden picket fence. We do not currently have a fence at our lake home, but our property consists of over 2 acres and it is rather remote. We would be more than willing to fence in a section of the yard if necessary and we would use a tether or leash until the pup is familiar and comfortable. | ||||||
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 live in an old Victorian on the East Side of Milwaukee with a small, fenced yard. We also spend time at our lake home in Central Minnesota. We spend a minimum of one week out of every month there. We have a large yard, approximately 2 acres with a relatively secluded lot. | ||||||
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? |
Maria | ||||||
Willing to train children? |
We have no children in our home but I am always eager to take time to teach a child to be compassionate where animals are concerned. | ||||||
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. Gus is an amiable fellow… he is not at all dominate. Homer was much more of the dominate dog in our household. Gus is not currently neutered since our vet recommended waiting until after age two because he is a Golden. We intend to neuter him sometime this winter. | ||||||
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} |