Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 08/29/2021 | 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: |
1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Sable & White, Any color | Activity level: |
Couch Potato, Quiet, Other (Please describe in the box below.) |
Other preferences: |
Good with kids, good with cats (or trainable in these areas) | ||||||
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? |
Family pet (mostly for mom) busy house with two kids (12 and 6 yo boys) and two gentle cats | ||||||
Why do you want a Pembroke? |
They're so beautiful. I'm really more of a dog person, but inherited two cats when my mother passed away. I just bought a new home this year with my own yard and sidewalks and was very excited to own a dog after living in an apartment where they weren't allowed. The best dog I ever had was a toy poodle named Abby. She was so loyal for the 16 years I was blessed to be with her. After her I had an amazing shar-pei/pitbull named Delilah. She had some aggressive tendencies at first with my (then three year old) son, but with a lot of training they became close companions. Tragically, she got out of the yard when the electric fence was broken and got hit by a car. That was a really hard loss. After Delilah passed I didn't get any more pets and we moved into a no dog apartment complex while I finished going to school. With the two cats, I didn't want a large dog and because of the high pitched bark, I didn't want a small dog. I spent a lot of time looking into medium sized dogs and landed on a corgi. From what I read they're friendly, intelligent and outgoing (and adorable) which would suit my family perfectly. I also watched a lot of videos of sixteenth corgis barking and prefer it to a toy poodle by 100%. Through reading adoption profiles I've learned that their personality varies greatly from one individual to another, so think it's amazing that services like yours exist. I sincerely hope to find the perfect corgi to add to our family. | ||||||
Activities planned with Pembroke: |
I would love to go on walks through the neighborhood, play fetch, go to the dog park, lounge on the couch, cuddle, and have a companion | ||||||
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: |
Dogs make mistakes. It's understandable. It depends on what the mistake was. If a blanket got chewed up, I would show them and offer a stern "no," if it happened more than twice, I would consult a trainer. If it's bathroom in the house after the first few weeks, I would continue to work on potty training and consult a trainer for more things to try if it was extensive or longer than two weeks. If it was any kind of bite, I could consult a trainer and other resources right away. | ||||||
Discipline: |
A stern "no," and positive reinforcement | ||||||
Where would Pembroke spend the majority of the time: |
Hopefully hanging out with me when I'm not at work, but most of the time would be at home, playing out back, or going on a walk | ||||||
Discipline: |
A stern "no," and positive reinforcement Where would Pembroke spend the majority of the time: Hopefully hanging out with me when I'm not at work, but most of the time would be at home, playing out back, or going on a walk |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No | ||||||
Where would dog eat? |
I haven't decided. My cats are on prescription Hill's Science diet due to urinary crystals, so if I don't know what diet the corgi was on prior to coming home with me, I might choose a science diet variety. If I get to know they're current diet and it's healthy, recommended by my vet, and available in my area, I'll stick with that. Most likely scenario is that I'll ask the vet what the best diet for the breed's specific health concerns is and go with that. | ||||||
Where would dog sleep: |
I want a large plush bed next to the couch, and and bed in my room, but they'll always be welcome to sleep in my bed as well | ||||||
Play & exercise: |
We'll go on walks every morning before work and after dinner and play in the yard after work | ||||||
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? |
I'm meeting with a fencing company to install a fence before I get a dog | ||||||
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: |
|||||||
Landlord permission: |
|||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
1/2 are, wooden deck, small raised bed garden, fruit trees, landscaping | ||||||
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? |
Sasha Stenger | ||||||
Willing to train children? |
Absolutely, it's extremely necessary | ||||||
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? |
Of course, they're like children only a little more trainable, you can't have a happy family of they're fighting ALL the time | ||||||
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} |