Untitled_2298

Applicant IL
State: {Applicant State:2} Date of Application: 03/20/2019 Referred by: Website
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:
 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:
 Outgoing, Quiet, Playful, Energetic, Very Active

Other preferences:
 We have two cats and may potentially add another dog.

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?

 The pembroke is for the two of us.

Why do you want a Pembroke?
 I love corgis. We recently lost our corgi. We adopted her when she was 7. Over the 3.5 years we had her, she was slowly affected by DM. A year into having her, we got her a cart to help her get around. We believe she had a lot of life left in her and we think the cart helped to slow down her aging. I hope to get another corgi. While we are open to having an older corgi, we would like to have more time with our next corgi. We love their personalities and sassy attitudes and hope to find a corgi that is active and friendly.

Activities planned with Pembroke:
 We really enjoyed walking our corgi a lot. When she was able, we went for long walks almost everyday. We would like one that we could take places and socialize with other dogs and people. My husband manages a pub that is very dog friendly and we would love to take our corgi there very often. We also have a nice sized, fenced in back yard that it could run around in and play in. Our neighborhood is also filled with dogs. Occasionally, our nephew stays with us and he loves dogs.

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: 		We are pretty patient people. I would verbally reprimand the dog and maybe remove it from the situation if necessary.

Discipline:
 Mostly verbal and a time out if needed. I plan to attend training classes to help the corgi and us know what will work best.

Where would Pembroke spend the majority of the time:
 In our house with us. One of us is home most of the time. I work during the day and my husband usually works in the evening, occasionally during the day.

Discipline:
 Mostly verbal and a time out if needed. I plan to attend training classes to help the corgi and us know what will work best.
Where would Pembroke spend the majority of the time: In our house with us. One of us is home most of the time. I work during the day and my husband usually works in the evening, occasionally during the day.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, most days

Where would dog eat?
 We have a spot by the back door where our last corgi ate.

Where would dog sleep:
 We would have a bed for it in our family room. We also have a crate that we may use. Our previous dog never slept in our bed and I would like to maintain that.

Play & exercise:
 Our corgi would have a lot of time for play and activity. My husband walked our dog every morning and I walked her every night (when she was able). Our next door neighbor also has two friendly and active dogs who would love to play. We would also take the dog to parks and hiking.

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?
 It is a chain link fence.

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:

 Our yard is good sized with lots of room to run. All we have is one big tree in the back that attracts a lot of squirrels.

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?
 both Kara and Jeremy

Willing to train children?
 We do not have children and have no plans of having children. Our nephew who says with us occasionally will be shown how to care for our corgi.

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?

 No, some of our current pets are not friendly toward dogs

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 Our cats mostly avoided our last corgi. They are used to having a dog in the house. Our older cat Tina stays outside (her choice) from spring through fall. Daphne is mostly inside but goes out occasionally. She comes around but keeps her distance from the dog. Neither cats are aggressive towards dogs.

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}