Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 10/07/2020 | Referred by: | Website, Breeder | ||
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: |
3 years – 5 years, 5 years – 10 years | Gender preferred: |
Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
We understand that temperament is a result of good breeding and training reinforcement. While behavior problems can be corrected, a dog's underlying temperament must be sound to do so. We can only consider a dog with such temperament. | ||||||
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 Pembroke is for my husband and I. We had the pleasure of having a Pembroke as one of our family for 13 wonderful years, and are now looking to adopt another who needs a good home. We truly appreciate this fun loving, fearless, utterly loyal and loving personality. As previous German Shepherd breeder and trainers, we always said it was like having a big dog in a little dog's body. My husband and I are ready to devote the time and love to this new possible addition to our family. | ||||||
Why do you want a Pembroke? |
As a previous Pembroke Welsh Corgi owner, we have experienced the endearing personality of the PWC. We have memories of our 7 year old son showing Amber in 4H obedience and him not doing well as a young handler being outsmarted by her, but then taking first in the show ring as she loved the audience and attention. Amber ruled the roost with our German Shepherds, using them for a pillow for her naps and taking their chew toys out of their mouths just because she wanted to. Amber was always up for anything – long walks, cross country skiing, and snuggling during naps. She always had to say hello to everyone she met, so excited to make new friends. And yet, when she saw something she saw as a threat, her deep growl alerted us to the concern. | ||||||
Activities planned with Pembroke: |
With my husband retired, we have plenty of spare time to spend with a new dog. Since we indicated that we'd be open to all age ranges other than puppy, this would depend upon the Pembroke's physical status. Walks are always top priority in any kind of weather. We've trained dogs in obedience and to track, and a corgi is motivated by food(need to be careful about no weight gain here) and likes to ground scent. While COVID-19 is still a concern, socialization for any dog is important. | ||||||
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: |
This depends upon the age and training status. Dogs need to be first taught what behaviors are expected. A strong foundation of rewarding correct behaviors consistently through praise needs to happen first before any behavior is considered a "mistake". I mentioned earlier that Pembrokes are typically motivated by food and small treats can be used as a motivator. Again, these treats need to be calculated into the dog's overall diet so as not to overfeed. Pembrokes can become overweight which is a significant health concern. | ||||||
Discipline: |
Distraction is a great technique for a young or active dog needing to be redirected. Sometimes bad behavior is out of boredom or needing attention which needs to be countered rather than disciplined. We provide our dogs with open and undisturbed access to a crate and toys. Discipline is actually repetitive and praised correct behavior. A sharp tone of voice can indicate our displeasure with certain actions such as nipping. | ||||||
Where would Pembroke spend the majority of the time: |
At home, next to where we are. | ||||||
Discipline: |
Distraction is a great technique for a young or active dog needing to be redirected. Sometimes bad behavior is out of boredom or needing attention which needs to be countered rather than disciplined. We provide our dogs with open and undisturbed access to a crate and toys. Discipline is actually repetitive and praised correct behavior. A sharp tone of voice can indicate our displeasure with certain actions such as nipping. Where would Pembroke spend the majority of the time: At home, next to where we are. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
yes, my husband is retired, and I work from home 1-2 days per week. | ||||||
Where would dog eat? |
We feed twice daily. The bowl of food is placed just off of our kitchen while we monitor eating and then removed when done. | ||||||
Where would dog sleep: |
In the bedroom with us, to begin with in a crate. | ||||||
Play & exercise: |
We love to play games – fetch, hide and seek a favorite toy. Have already discussed training and exercise. Since my husband is home, opportunities to play are abundant. While we do not have a fenced in yard, we have 1.5 acres of land. Our dogs have been perimeter trained, but we always stay outside whenever our dogs are out, never leaving them unattended. We do have outdoor runs for when we've had german shepherds even though they were house dogs too, should we choose to use them. |
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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: |
1.5 acres, at the end of a dead end road, with only one other home property adjacent to ours. No swimming pool. | ||||||
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? |
Tom in the morning and during the day; Lisa in the evening and weekends | ||||||
Willing to train children? |
While we have no children living in our home, it will be important to socialize our corgi with children under supervision. | ||||||
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? |
Yes, we don't anticipate any problems, as we've had good experience with Niklas getting along with female dogs. Niklas has excellent temperament, is active, and loves to play. | ||||||
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} |