| Date & Referral Source | |||||||
| State: | {Applicant State:2} | Date of Application: | 10/03/2021 | Referred by: | 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 | Gender preferred: |
Male | Color preferred: |
Any color | Activity level: |
Playful, Energetic, Very Active |
Other preferences: |
We want a dog that would get along with Lucy and be a happy family dog. That said, I intend to do agility with this dog so I would like the dog to have some drive. | ||||||
| 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? |
The male Pembroke Welsh Corgi would be for Rich and I and Lucy, our 4 1/2 spayed female Welsh Pembroke Corgi. He would join our family. I do agility with Lucy and it would be my intention to do agility with the new boy after attend obedience training. | ||||||
Why do you want a Pembroke? |
I would like another Corgi because I think it would be good for our family. Lucy likes other dogs and would like another dog in the house to play with. I would like to have another dog to do agility with. Lucy is a PWC so I have experience with the breed. Lucy is a joy and I think another PWC would make things even better for everyone in out family. | ||||||
Activities planned with Pembroke: |
Lots of walks. Playing in our yard. Going to the beach. Attending obedience class. Doing agility training and eventually competing. | ||||||
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: |
Firmly but kindly say no. If the mistake is peeling or pooping in the house, I would take the dog out side to finish his business and then put him into the gated area where he is allowed to be. The I would clean up the area with Autoban, which is a cleaner that removes the smell to the dog and the humans. I would note the time and going forward I would take the do out at that time and more frequently to get on a schedule.
I the mistake is chewing, I would firmly but kindly say no |
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Discipline: |
As I discussed earlier: 1) Firm but kind verbal corrections 2) Use the leash to keep the dog with me without pulling on the leash. For example Stop and do not move forward if the dog is pulling and wait until the dog looks back at me before moving forward. 3) Use teats or toys to reward good behaviors and with hold treats or toys when there is behavior that I do not want. |
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Where would Pembroke spend the majority of the time: |
With me. All around my house and yard. | ||||||
Discipline: |
As I discussed earlier: 1) Firm but kind verbal corrections 2) Use the leash to keep the dog with me without pulling on the leash. For example Stop and do not move forward if the dog is pulling and wait until the dog looks back at me before moving forward. 3) Use teats or toys to reward good behaviors and with hold treats or toys when there is behavior that I do not want. Where would Pembroke spend the majority of the time: With me. All around my house and yard. |
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|
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes I am all the time and my husband is around a couple days a week and on weekends. | ||||||
Where would dog eat? |
Unless you recommend differently he would eat what Lucy eats which is: Morning 1/3 cup Purina Pro Plan dry food 1/2 TBS Purina Pro Plan wet food 1 TBS Fat Free Yogert 1 TBS Puréed Pumkin 1 tsp coconut oil 1 tablet Ligaplex 2 squirts Grizzly Alaskan Salmon Oil 1/4 tsp parsley flakes Evening Everything listed above but substitute green beans for the pumpkin Every other day 1 weight appropriate sized Greenie |
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Where would dog sleep: |
He would have his own crate. next to Lucy's crate. Occasionally both dogs would be allowed to sleep with us in our bed. | ||||||
Play & exercise: |
He would be walked 3 time a day. He would attend obedience/ agility class with me at least twice a week. He would go to the beach weather permitting at least once a week. I would al so play with he and Lucy in our yard | ||||||
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 have combination wood and wrought iron fence around our back yard. There are no gaps where a puppy or dog could get out. There are three gates which are locked at all times. | ||||||
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: |
We live in the City. Our lot is 37ft X 120ft. We have a 2 1/2 car garage Our backyard is fenced. I has a small patio and there are places for the dogs to run and play. | ||||||
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? |
Elizabeth R Cohen | ||||||
Willing to train children? |
We do not have children, but there are many kids in our neighborhood and we teach them how to properly treat our Corgi Lucy. When we have the change we do encourage the humane treatment of all animals. | ||||||
|
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. Please note, that out plan is to visit any prospective adoptive dog with Lucy to make sure the dogs get along. | ||||||
|
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} | ||||||