Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 12/28/2020 | Referred by: | Website, 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, 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: |
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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? |
Myself—Carrie Babbe | ||||||
Why do you want a Pembroke? |
I have been wanting another dog for a while and my sister has owned two corgis so I’ve fallen in love with this breed. I would like to adopt a dog for companionship, a walking partner, to increase the fun in my life and to provide a good home to a needy corgi. My experience with my sister’s corgis was with one very calm, smart, lovable but somewhat aloof yet good natured and loving corgi (who was a rescue) and now to her current high-energy, crazy smart, bossy, herding and equally loving dog. I’ve researched the breed and know how they need to be part of a family, are high energy and enjoy activities and walks and that they love to bark—especially when they want to play a game of catch or notice that the mailman is across the street. I know about health issues that arise and that they are prone to many serious issues like spinal cord diseases, hip problems, eye and lung issues. I’m prepared to deal with those problems as well as the issues from normal aging. I’m hopeful that I’ll be able to adopt a corgi and give her a loving, safe and fun-filled life. | ||||||
Activities planned with Pembroke: |
Walking, biking riding (in a burley), visiting dog parks, obedience classes, riding in a boat and spending time with friends and family, etc. I’m an somewhat active person who enjoys being outside and on the go, so my dog will fully be part of my life. She will also have plenty of space to relax and have any quiet time that she needs. | ||||||
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? |
No | ||||||
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: |
Depends on what it is. Most likely I’d redirect her and reward the good behavior. If she had an accident inside the house and I see it happening, I would interrupt with a command like “outside” and then take her out to finish the job. If she had an accident I didn’t catch, I would take her outside and clean up the mess because that was probably my fault. If the dog is impulsive or jumping on people, I would train her to recognize the“wait” command so she didn’t jump on people. I’d also follow the commands recognized by the trainers in obedience classes. I would never use physical punishment such as striking them, denying them good or comfort or leaving them outside alone. | ||||||
Discipline: |
Distract her from bad behavior with “no” or a noise to get her attention and redirect her, maybe give her a timeout in her dog bed. After I tell her know, tell her to sit fir a bit so she calms down | ||||||
Where would Pembroke spend the majority of the time: |
In my home—roaming freely since I work from home. | ||||||
Discipline: |
Distract her from bad behavior with “no” or a noise to get her attention and redirect her, maybe give her a timeout in her dog bed. After I tell her know, tell her to sit fir a bit so she calms down Where would Pembroke spend the majority of the time: In my home—roaming freely since I work from home. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Just me. | ||||||
Where would dog eat? |
A high quality dog food in portions that are appropriate for her age and/or special health needs. There will be no table scraps. If the vet thinks it is acceptable for her, I would provide raw carrots or apples since I know corgis have appetites 🙂 | ||||||
Where would dog sleep: |
In my bedroom on a dog bed. Initially, she I may use a safe, large in-home crate/kennel in my bedroom so she feels safe and is able to stay safe in my home during transition into her new home. | ||||||
Play & exercise: |
She will have daily walks supplemented with time at the dog park and helping me garden. We will also play in the house.
In spring, summer and fall, she will be outside with me about 3-4 hours (maybe more on wknds) a day. Winters in Iowa can be cold so outside will be for daily walks but more play inside. |
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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? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
I live in a condo and have a green space outside my unit. There are no fences or swimming pools or other safety hazards. | ||||||
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? |
Me | ||||||
Willing to train children? |
Yes | ||||||
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? |
I don’t have other pets. I accidentally checked the button above and can’t uncheck it. | ||||||
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} |