Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 11/20/2020 | 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: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
Kid (toddler) friendly and no food aggression! | ||||||
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? |
For our family! Scott and I have two young boys, Noah and Zeke, and Zuzu, our golden doodle! | ||||||
Why do you want a Pembroke? |
Our family is a young, very active family, and we are looking for an active, happy dog to join! We have always had a sweet spot for Corgis. We find their personalities to be sweet and unique, and we have experience with smart and independent dogs, and we feel a Corgi would be a perfect leader for our current dog, Zuzu! We have done our research and know what comes with them, and we feel as though a Corgi would match very well with our family. | ||||||
Activities planned with Pembroke: |
We would work on training every day, as we do with our current dog! We are also almost always outside, as weather permits, so the Corgi would spend lots of time running around the yard with us. We have many lacrosse balls and flying squirrel toys we would throw in the yard with the dogs, and we have toys inside that we throw and would have plenty of toys for chewing and independent play. We also go on walks daily, if the weather isn't too bad, and the Corgi would come along for walks with us! | ||||||
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 work on a lot of positive reinforcement and redirection. For instance, in the case we would find that the Corgi is chewing on a toy they should not have, we would tell them to drop it, and no. When they did, many praises, a treat, and a toy that is appropriate for the Corgi. And we would do official obedience training, once available, and for the time being, due to COVID, we would do training at home! | ||||||
Discipline: |
We really are very big on positive reinforcement and proper training. Having a very intelligent Goldendoodle, we from the start have worked hard on positive reinforcement (treats, lots of praise and pets) since day one. When a dog starts acting out, it usually means they aren't getting enough attention or exercise (similar to toddlers), and no one responds well to yelling. So we talk in a firm voice when saying no, but celebrate when the dog makes a good decision or listens to a command, and we would do that same thing with a Corgi. | ||||||
Where would Pembroke spend the majority of the time: |
Most of the time, the Corgi would be with us downstairs! We stay home about 95% of the time, outside of appointments and grocery trips, so the Corgi would only be in a crate during short trips. If we were to leave for an extended amount of time, once things are in a more trustworthy spot, we would have my sister stay at our house with the dogs and they would get lots of love and roaming! | ||||||
Discipline: |
We really are very big on positive reinforcement and proper training. Having a very intelligent Goldendoodle, we from the start have worked hard on positive reinforcement (treats, lots of praise and pets) since day one. When a dog starts acting out, it usually means they aren't getting enough attention or exercise (similar to toddlers), and no one responds well to yelling. So we talk in a firm voice when saying no, but celebrate when the dog makes a good decision or listens to a command, and we would do that same thing with a Corgi. Where would Pembroke spend the majority of the time: Most of the time, the Corgi would be with us downstairs! We stay home about 95% of the time, outside of appointments and grocery trips, so the Corgi would only be in a crate during short trips. If we were to leave for an extended amount of time, once things are in a more trustworthy spot, we would have my sister stay at our house with the dogs and they would get lots of love and roaming! |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
I am home, whether or not the pandemic is happening, all the time. Scott is also home right now, working remote. The only times we leave are for trips to get groceries, visits to Nana and Papa, or doctor visits! | ||||||
Where would dog eat? |
The Corgi would eat in the kitchen in a designated spot under the window, just like Zuzu! | ||||||
Where would dog sleep: |
The Corgi would sleep upstairs in a crate in our bedroom, until housebroken and comfortable. We would transition then to a dog bed in our room! | ||||||
Play & exercise: |
The Corgi would get lots of opportunities. We go on daily walks, and if the weather is not permitting of a walk, we would run him back and forth in the foyer with toys! We are constantly on the move, so the Corgi would be too! We also do training exercises and, when weather permitting, play outside throwing lacrosse balls and flying squirrels! | ||||||
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 do have an Invisible Fence. We do not let our dog outside unsupervised at night, and she does not go out for long, just for potty. We live right across from a hospital, so our yard is almost always lit up and so we do not get anything more than bunnies in our yard (and squirrels of course). We would do the training as soon as the Corgi came into our care, and that is a three week process. During those weeks, we would tether the Corgi and stay outside to ensure safety. We are going to be getting a real fence, unfortunately with the pandemic wood was hard to come by and our HOA requires wood or invisible. | ||||||
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: |
Our yard is VERY large. We have a play structure and a flat patio, and then everything else is grass! We will not ever be getting a pool, and are planning on removing the play structure in the next year. | ||||||
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? |
Emily/Scott | ||||||
Willing to train children? |
Yes! Our children have grown up exposed to dogs as little as Chihuahuas and French Bulldogs, to Golden Retrievers and Goldendoodles and many more. They are very gentle and listen and know when a dog wants time alone. We would absolutely ensure the Corgi had space when he or she needed, and that playtime was supervised and always wanted on both sides. | ||||||
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! We would plan on slowing introducing from the start, and if we were to adopt another animal, we would only consider dogs that were friendly with other 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} |