Untitled_2283

Applicant IL
State: {Applicant State:2} Date of Application: 03/11/2019 Referred by: Website, Breeder
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 1 year – 3 years, 3 years – 5 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Outgoing, Quiet, Playful

Other preferences:

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}

Who is this dog for?

 Self

Why do you want a Pembroke?
 I have loved this breed since my Great Grandma raised them and Pekanese . My Grandmother always had 2-3 Dogs. We had Dogs when I was growing up. I like the personality of a Corgi, and their cuteness.

Activities planned with Pembroke:
 I volunteer at a local Horse Barn, we help the handicap get the exercise they need. Horse back riding is a great exercise for people with handicaps & MS. It is so rewarding, and I could see my Pup helping bring the horses into the barn in the evening. I also plan on some training in visiting the Elder ar our neighborhood Assisted Living & Nursing home.

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: 		Talk to him/her showing and talking to my pup. Re directing when needed.

Discipline:
 Vice commands. I am a big time out person…. Go to your crate. Probably more for me. Most of all I feel my tone of voice should go with the level of discipline. I am opened for training classes for us both. I have the time to put into my pup, making us both happy

Where would Pembroke spend the majority of the time:
 With me !

Discipline:
 Vice commands. I am a big time out person…. Go to your crate. Probably more for me. Most of all I feel my tone of voice should go with the level of discipline. I am opened for training classes for us both. I have the time to put into my pup, making us both happy
Where would Pembroke spend the majority of the time: With me !

House dog or outside dog?

 House dog

People at home during the day?
 2 retired young people .

Where would dog eat?
 My pup would have her place in the kitchen to eat

Where would dog sleep:
 With me or my hubby … where ever they are comfortable.

Play & exercise:
 I love the outdoors . We will play daily. If the weather is bad I have a small fenced in area of the 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?
 Small wire coated area 18X10 I would listen for the bark telling me it’s time to come in.

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:

 Large driveway. 2 garages. We like our 65 GTO & think Pup will two. Front porch..back steps too small garage and fenced in side yard.

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?
 Linda

Willing to train children?
 Of Course , they all have volunteered with me at the barn. They all have their own animals & chores

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

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}