Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 08/18/2021 | 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: |
Any color | Activity level: |
Outgoing, Playful, Energetic |
Other preferences: |
We have 2 cats. One is 16, the other is 1 and a recent rescue. Both are declawed. The one-year-old is very fun and playful. The 16-year-old still plays some but not much. We would struggle with a dog that barks a lot but we are also willing and able to train. | ||||||
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? |
Our family. Mom, Dad and 2 older kids, 20 & 18. | ||||||
Why do you want a Pembroke? |
We just lost our 12-year-old black lab mix to cancer 2 days before Christmas. We knew we would get another dog, we just didn't know when or what breed. We know we want a smaller dog this time around. I took an online quiz to see which dog breed would best fit your family and, while I don't take a ton of stock in online quizzes, it did come up with a 95% match for the Pembroke Welsh Corgi. We had already been discussing corgis a lot in our house as it's a breed we adore. I do know 2 people with corgis. One of them I've been able to be around several times and I simply adore her. We are looking for an active dog but not as active as, say, a husky. Having had 2 lab mixes, the smaller size is also appealing. While we loved our labs to pieces, we are simply at a point of wanting something smaller, more manageable with dirty paws, coming up on the furniture and traveling with. I have done research on the breed. My husband and I invested a lot of time training our last 2 dogs, which we will do with the next dog we get as well. From what I've read about corgis, they are quite smart and eager to please. We believe in reward/praise-based training so it seems like a good fit. Lastly, we really want a dog that wants to love on us as much as we want to love on him/her..which is a lot. | ||||||
Activities planned with Pembroke: |
Daily walks, indoor play, outdoor play and nearby dog parks, one of which does have an agility course (which I understand corgis can be quite skilled at). | ||||||
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 believe in a "no," followed by immediate redirection. | ||||||
Discipline: |
The same as above. We are big believers in repetition, redirection and positive reinforcement when they behave well. | ||||||
Where would Pembroke spend the majority of the time: |
In our house & yard with us. My husband works from home so he is in the home most of the time. With my job being in fitness, I'm not at a 9-5 so I'm usually only gone a few hours at a time. | ||||||
Discipline: |
The same as above. We are big believers in repetition, redirection and positive reinforcement when they behave well. Where would Pembroke spend the majority of the time: In our house & yard with us. My husband works from home so he is in the home most of the time. With my job being in fitness, I'm not at a 9-5 so I'm usually only gone a few hours at a time. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes. There's very rarely a time when no one is home. My husband works from home, I'm in and out throughout the day and our 2 children are in and out as well. | ||||||
Where would dog eat? |
In our house. If he/she doesn't eat well near our cats we would simply create a space all her own. | ||||||
Where would dog sleep: |
We believe in crate training so ideally in a crate in the master bedroom. | ||||||
Play & exercise: |
At a minimum we took our previous dogs on daily walks, even in inclement weather. Our last dog was obsessed with fetch so she usually got a good half hour or more of fetch daily as well. We are an active family that likes to be outside and we like our dog to accompany us whenever possible. | ||||||
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? |
|||||||
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? |
|||||||
Lease allow dogs: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
We live on 3/4 of an acre. It is fenced on 2 sides but not all the way around. We have discussed fencing the remaining. We don't have a pool. We have some basic landscaping and a fire pit. | ||||||
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? |
Melissa | ||||||
Willing to train children? |
Yes. However, as they are 20 and 18, that has been drilled into their heads their entire lives. | ||||||
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. | ||||||
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} |