Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 11/23/2021 | 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, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
We would prefer a corgi that is friendly around other animals and children. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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 both of us, but Shelby will be the primary owner. | ||||||
Why do you want a Pembroke? |
We are drawn to Pembroke Welsh Corgis because of their charismatic temperament, energy levels, intelligence, size, and overall cuteness. My (Shelby) step-mom is an equine veterinarian, so I have spent time around many corgis at horse barns (very popular dog breed in horse community). We are done extensive research on the challenges of owning corgis (resource guiding, back issues, genetic conditions) as well as the many benefits. We have done research on their intelligence, trainability, and what lifestyles best suit the dog breed, though we realize each individual is different. | ||||||
Activities planned with Pembroke: |
We are hoping to go on two walks a day, as our apartment is directly on a nature preserve that is quite dog friendly. In addition, we are hoping to take the corgi on longer hikes at state park, for rides in our kayaks, and to socialize with other dogs at parks and suburban areas. | ||||||
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 |
||||||
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: |
By keeping our composure and patience, though we will assert dominance if needed. | ||||||
Discipline: |
Depending on the severity of the mistake, by avoiding giving positive attention/reinforcements as well as treats. Scolding for larger mistakes and redirecting with smaller mistakes. | ||||||
Where would Pembroke spend the majority of the time: |
Most of the time, our Pembroke would spend time with us in our large, dog-friendly apartment. | ||||||
Discipline: |
Depending on the severity of the mistake, by avoiding giving positive attention/reinforcements as well as treats. Scolding for larger mistakes and redirecting with smaller mistakes. Where would Pembroke spend the majority of the time: Most of the time, our Pembroke would spend time with us in our large, dog-friendly apartment. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, usually 4/7 days a week someone is home all day. Our work schedule is very flexible. | ||||||
Where would dog eat? |
At the beginning, within the crate if working on crate training. Will likely continue to feed near the crate. | ||||||
Where would dog sleep: |
At the beginning, in its crate. With time, if the corgi is interested, we would allow him/her to sleep with us if safe. | ||||||
Play & exercise: |
We will provide opportunities for twice-daily walks, playing in our apartment, and visiting dog parks/structured socializing events. We plan to walk our corgi twice a day: a smaller walk in the morning with a longer walk/play time in the afternoon. We also plan to do one 'larger' outdoor activity on weeks like a hike for several miles at a state park (flatter terrain). | ||||||
How will you exercise your dog? |
On leash | ||||||
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: |
Rent/lease 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? |
Yes, you may contact my landlord. | ||||||
Lease allow dogs: |
Yes, my lease permits dogs. | ||||||
Landlord permission: |
Yes, my landlord is fine with me owning a Pembroke | ||||||
Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
Description of yard: |
N/A | ||||||
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? |
Shelby Weidenkopf | ||||||
Willing to train children? |
Yes, though we are a child free couple. | ||||||
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? |
|||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Yes, we are. | ||||||
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, [email protected], friend.:87} |